Hassan Massouh, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Eden Prairie, MN
NPI 1083723969 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1083723969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 10582 (MT)
- Practice address
- 11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 67
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inspire Radiology Group 2 LLC
Miracl LLC
Bay Area Hospital District
Minneola District Hospital NBR 2
Lower Umpqua Hospital District
Cleveland Clinic
Practice addresses (Care Compare)
Montana City, MT 59634
Phone (816) 800-9020
1000 W 10TH St
Phelps Health
Rolla, MO 65401-2905
Phone (573) 364-9000
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (816) 800-9020
1501 E 3Rd St
Delta, CO 81416-2815
Phone (816) 800-9020
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (816) 800-9020
404 N Main St
Suite 462
Fowler, KS 67844-9998
Phone (620) 646-5446
600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2171
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-4176
Hospital & facility affiliations
- Phelps County Regional Medical Center
- Bay Area Hospital
- Fairview Hospital
- Cleveland Clinic Avon Hospital
- McKenzie-Willamette Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (8 enrollments) in MT, OR, FL, TX, KS, CO, MO, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000527 | MT | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 8 organizations |
| I20240118002941 | OR | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 6 organizations |
| I20240923001237 | FL | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 1 organization |
| I20241022003718 | TX | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 8 organizations |
| I20241216000972 | KS | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 4 organizations |
| I20250117001804 | CO | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 3 organizations |
| I20250723003191 | MO | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 2 organizations |
| I20260225000664 | OH | Practitioner - Diagnostic Radiology | 6305815820 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.006947 | CO | MD | Diagnostic Radiology Physician |
| 10582 | MT | MD | Diagnostic Radiology Physician |
| 14216747-1235 | UT | MD | Diagnostic Radiology Physician |
| MD217314 | OR | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Hospital Leasing Junction, Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Van Horn Inc | Current |
Accepting new patients | |
| Inspire Radiology Group 2 LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Preferred Hospital Leasing Coleman Inc | Current |
Accepting new patients | |
| McKenzie Physician Services LLC | Current |
Accepting new patients | |
| Gonzales Healthcare Systems | Current |
Accepting new patients | |
| Preferred Hospital Leasing Van Horn Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Coleman, Inc. | Current |
Accepting new patients | |
| Clinic Medical Services Company LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Ruby Valley Hospital | Current |
Accepting new patients | |
| Ruby Valley Hospital | Current |
Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Wooster Clinic, LLC | Current |
Accepting new patients | |
| Meade Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current |
Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current |
Accepting new patients |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Baker Community Health Center Inc | Current |
Accepting new patients | |
| Washington University | Diagnostic Radiology | Current |
Accepting new patients |
| Minneola District Hospital NBR 2 | Current |
Accepting new patients | |
| Gonzales Healthcare Systems | Current |
Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Meade Hospital District | Current |
Accepting new patients | |
| Clinic Medical Services Company | Diagnostic Radiology | Current |
Accepting new patients |
| Castro County Hospital District | Current |
Accepting new patients | |
| Delta County Memorial Hospital | Current |
Accepting new patients | |
| Miracl, LLC | Current |
Accepting new patients | |
| Meade Hospital District | Current |
Accepting new patients | |
| Castro County Hospital District | Current |
Accepting new patients | |
| Montana Interventional and Diagnostic Radiology Specialists, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Preferred Hospital Leasing Junction, Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc. | Current | Accepting new patients | |
| Minneola District Hospital NBR 2 | Current |
Accepting new patients | |
| Inspire Radiology Group LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Lower Umpqua Hospital District | Past | Accepting new patients | |
| Helena Imaging, LLC | Past | Accepting new patients | |
| Hillcrest Radiology Associates, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Castro County Hospital District | Past | Accepting new patients | |
| Davis Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Lower Umpqua Hospital District | Past | Accepting new patients | |
| Gonzales Healthcare Systems | Diagnostic Radiology | Past | Accepting new patients |
| Lower Umpqua Hospital District | Past | Accepting new patients | |
| CHS Physician Partners, P.C | Past | Accepting new patients |
Locations (25 of 34)
Dept LA 25339
Pasadena, CA 91185
1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470
1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668
159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815
222 Main St
Minneola, KS 67865
Phone (620) 885-4202
222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202
212 Main St
Minneola, KS 67865
Phone (620) 885-4202
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
25 Medical Park Dr
Helena, MT 59601
Phone (406) 443-1556
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
310 S Pecos St
Coleman, TX 76834
Phone (325) 625-2135
310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191
300 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2194
102 N US Highway 277
Eldorado, TX 76936
Phone (325) 853-2507
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- hmassouh278852@uihcdirect.org
- hassan.massouh.1@8233.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 14216747-1235 | UT | |
| Diagnostic Radiology Physician | 2085R0202X | 10582 | MT | Yes |
| Diagnostic Radiology Physician | 2085R0202X | DR.006947 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 10582 | MT | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD217314 | OR |
Addresses
Primary practice location
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Mailing address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301
Other practice location 1
1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681
Other practice location 2
400 S Clark St
Butte, MT 59701-2328
Phone (406) 461-2953
Other practice location 3
1460 G St
Springfield, OR 97477-4112
Phone (816) 800-9020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085442 | Medicaid | MT | |
| 98815 | Other | MT | BLUE CROSS BLUE SHIELD |
| 9000212235 | Medicaid | CO |
Other providers in Eden Prairie, MN
- Lilliana Irene Martin
- Stephen L. Marty
- Martha Herfurth Marvin
- Anthony Frank Massi
- Brandon J Massin
- Caleb Matl
- Matousek Chiropractic, P.a.
- Sharhae Angela Matousek
- Thomas C Matson
- Fernanda Sena Matsuda
All providers in Eden Prairie, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.