Roukaya Tarek Hassanein, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A174110 Issued in CA

Practice address

751 W Legion Rd
Brawley, CA 92227-7732

Phone

(760) 351-4400

Fax

(603) 514-4077

NPI assigned

May 16, 2017

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

General Surgery

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• SC Surgery Network, Inc.

  • Surgery Physician
  • Brawley, CA
  • NPI 1841079936

  Single Specialty

  Medicare reassignment NPD Authorized official
• Gateway Comprehensive Medical Group

  • Legal Medicine
  • San Diego, CA
  • NPI 1376834077

  Single Specialty

  NPD (past)
• Gateway Comprehensive Medical Group

  • General Practice Physician
  • San Diego, CA
  • NPI 1831490184

  Single Specialty

  NPD (past)

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

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation
• Imperial Valley Healthcare District

  dba Pioneers Memorial Hospital

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1184429185
  Care Compare affiliation

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1114454519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-4400",
            "fax_number": "603-514-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANEIN",
        "first_name": "ROUKAYA",
        "middle_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35144302",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A174110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Junghee Hahm, M.D.
• Michael V Hall, CRNA
• Darius V Halliday, DDS
• Mostafa A Hamdy, MD
• Jillian Hampton
• Kyler Heitman, RDN
• Hemendra Goyal (Ameri Mex Pharmacy)
• Nataly R Hernandez Sosa
• Raquel A Hernandez
• Vanessa Hernandez, D.O.

• Surgery Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.