Organization Active NPI

Hasan Hasaba MD PLLC

Doing business as Greenfield Pediatrics

  • Pediatrics Physician
  • Southfield, MI
National Provider Identifier
1184993404
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Hasan Hasaba, MDNPI 1558332783
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2006795Greenfield Pediatrics15990 W 9 Mile Road Suite 100, Southfield, MI 48075Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.