Individual provider Active NPI

Hassan Massouh, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1083723969
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10582 Issued in 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
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14216747-1235 UT
Diagnostic Radiology Physician 2085R0202X 10582 MT Primary
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

400 S Clark St
Butte, MT 59701-2328
Phone (406) 461-2953

Other practice location 2

1460 G St
Springfield, OR 97477-4112
Phone (816) 800-9020

Other practice location 3

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, OR, FL, TX, KS, CO, MO, OH8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Radiology Group 2 LLCGroup PAC ID 1355870460, 23 clinicians
Miracl LLCGroup PAC ID 4587908041, 96 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
Minneola District Hospital NBR 2Group PAC ID 1355252545, shared by 5 NPIs, 31 clinicians
Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.006947COMDDiagnostic Radiology Physician
10582MTMDDiagnostic Radiology Physician
14216747-1235UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Minneola District Hospital NBR 2 Current Accepting new patients
Gonzales Healthcare Systems CurrentSince Aug 10, 2024 Accepting new patients
Preferred Hospital Leasing Van Horn Inc CurrentSince Dec 30, 2024 Accepting new patients
Wooster Clinic, LLC CurrentSince Jan 17, 2026 Accepting new patients
Preferred Hospital Leasing Junction, Inc CurrentSince Feb 23, 2025 Accepting new patients
Preferred Hospital Leasing Coleman Inc CurrentSince Dec 30, 2024 Accepting new patients
Preferred Hospital Leasing Van Horn Inc CurrentSince Dec 30, 2024 Accepting new patients
Ruby Valley Hospital CurrentSince Jun 1, 2025 Accepting new patients
Ruby Valley Hospital CurrentSince Jun 1, 2025 Accepting new patients
Miracl, LLC CurrentSince May 10, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Jan 15, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Jan 15, 2024 Accepting new patients
Preferred Hospital Leasing Coleman, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Sidney Health Center Current Accepting new patients
McKenzie Physician Services LLC CurrentSince Apr 10, 2025 Accepting new patients
Lower Umpqua Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Montana Interventional and Diagnostic Radiology Specialists, PLLC Diagnostic Radiology CurrentSince Sep 27, 2004 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Mar 1, 2025 Accepting new patients
Inspire Radiology Group 2 LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Baker Community Health Center Inc CurrentSince Jul 7, 2024 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Mar 1, 2025 Accepting new patients
Delta County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Inspire Radiology Group LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Gonzales Healthcare Systems CurrentSince Aug 10, 2024 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Preferred Hospital Leasing Hemphill, Inc CurrentSince Dec 30, 2024 Accepting new patients
Preferred Hospital Leasing Junction, Inc CurrentSince Feb 23, 2025 Accepting new patients
Delta County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 17, 2026 Accepting new patients
Meade Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Preferred Hospital Leasing Hemphill, Inc. Current Accepting new patients
Meade Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Castro County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Meade Hospital District Current Accepting new patients
Castro County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Castro County Hospital District Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Davis Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Helena Imaging, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Hillcrest Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients
Gonzales Healthcare Systems Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

Dept LA 25339
Pasadena, CA 91185

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
#97
Minneola, KS 67865
Phone (316) 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

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

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

300 W Halsell St
Dimmitt, TX 79027
Phone (806) 577-7578

310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191

102 N US Highway 277
Eldorado, TX 76936
Phone (325) 853-2507

Interoperability endpoints

  • Direct secure messaging: hassan.massouh.1@8233.direct.athenahealth.com
  • Direct secure messaging: hmassouh278852@uihcdirect.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 50

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 50

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1083723969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012328",
            "country_code": "US",
            "telephone_number": "406-461-2953",
            "fax_number": "406-723-2624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 G St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774112",
            "country_code": "US",
            "telephone_number": "816-800-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSOUH",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14216747-1235",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "10582",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.006947",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "10582",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD217314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.