Active NPI
Hasan Hasaba MD PLLC
Doing business as Greenfield Pediatrics
- Pediatrics Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HASAN HASABA MD PLLC
- Doing business as
- Greenfield Pediatrics
- Practice address
- 15990 W 9 Mile Rd Ste 100
Southfield, MI 48075-4826 - Phone
- (248) 559-7958
- Fax
- (248) 559-0908
- NPI assigned
- Dec 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hasan Hasaba, MD
- Title
- Medical Director
- Phone
- (248) 559-7958
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
15990 W 9 Mile Rd Ste 100
Southfield, MI 48075-4826
Mailing address
15990 W 9 Mile Rd Ste 100
Southfield, MI 48075-4826
Phone (248) 559-7958
Other names 1
- Greenfield Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2006795 | Greenfield Pediatrics | Certificate of waiver | Apr 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
15990 W 9 Mile Rd
Unit 100
Southfield, MI 48075
22255 Greenfield Rd
Ste 320
Southfield, MI 48075
Phone (248) 559-7958
15990 W 9 Mile Rd
Ste 100
Southfield, MI 48075
Phone (248) 559-7958
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Southfield, MI
- NPI 1558332783
-
- Pediatrics Physician
- Southfield, MI
- NPI 1457333718
-
- Physician Assistant
- Evergreen Park, IL
- NPI 1225679699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1184993404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15990 W 9 MILE RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754826",
"telephone_number": "248-559-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15990 W 9 MILE RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754826",
"telephone_number": "248-559-7958",
"fax_number": "248-559-0908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASAN HASABA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-14",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "HASABA",
"authorized_official_first_name": "HASAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "248-559-7958",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenfield Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.