Individual provider Active NPI

CH Hassan Ali, M.D

  • Neurology Physician
  • Bangor, ME
National Provider Identifier
1194382887
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD26861 Issued in ME
Practice address
905 Union St Ste 9
Bangor, ME 04401-3039
Phone
(301) 326-8421
NPI assigned
May 29, 2019
Reactivated
Feb 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DC
Neurology Physician 2084N0400X MD26861 ME Primary

Addresses

Primary practice location

905 Union St Ste 9
Bangor, ME 04401-3039

Mailing address

34 Virginia LN
Bangor, ME 04401-5687
Phone (301) 326-8421

Other practice location 1

2041 Georgia Avenue NW, Howard University Hospital
GME Office
Washington, DC 20060
Phone (202) 865-1924

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical Center 659 clinicians

Practice addresses (Care Compare)

905 Union St
Suite 9
Bangor, ME 04401-3039
Phone (207) 947-0558

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20230523000841 ME Practitioner - Neurology 5698131365 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26861MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Jul 9, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 9, 2023 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

905 Union St
Ste 9
Bangor, ME 04401
Phone (207) 947-0558

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1194382887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 VIRGINIA LN",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015687",
            "telephone_number": "301-326-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 UNION ST STE 9",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013039",
            "telephone_number": "301-326-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Avenue NW, Howard University Hospital",
            "address_2": "GME Office",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20060",
            "country_code": "US",
            "telephone_number": "202-865-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "CH HASSAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "deactivation_date": "2020-01-16",
        "reactivation_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD26861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.