Active NPI
Moustafa A Hassan, MD
- Surgery Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 243928
- Practice address
- 750 E Adams St
Department of Surgery
Syracuse, NY 13210-2306 - Phone
- (315) 464-1800
- Fax
- (315) 464-6252
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 243928 | NY | |
| Surgical Critical Care Physician | 2086S0102X | 243928 | NY | |
| Surgery Physician | 208600000X | 243928 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Department of Surgery
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Department of Surgery
Syracuse, NY 13210-2306
Phone (315) 464-1800
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08973733 | Medicaid | MS | |
| 51526800 | Other | AL | BLUE CROSS |
| 17-00359 | Other | AL | UNITED HEALTH CARE |
| 272003500 | Medicaid | FL | |
| 009983735 | Medicaid | AL | |
| 51526801 | Other | AL | BLUE CROSS |
| 009983745 | Medicaid | AL | |
| 02870955 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
725 Irving Ave
Suite 401
Syracuse, NY 13210-1684
Phone (315) 464-2878
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.86 of 100
- Quality
- 83.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.23
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 24 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243928 | NY | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, LLP | Surgery | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients | |
| University of South Alabama Health Services Foundation | Past | Accepting new patients |
Locations
750 E Adams St
Ste 4835
Syracuse, NY 13210
Phone (315) 464-1800
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- mhassan6478@direct.upstate.edu
Organizations & group practices 3
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.
-
- Surgery Physician
- Syracuse, NY
- NPI 1376590117
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1548357916
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1194770065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "DEPARTMENT OF SURGERY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-1800",
"fax_number": "315-464-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "DEPARTMENT OF SURGERY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-1800",
"fax_number": "315-464-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MOUSTAFA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "243928",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "243928",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "243928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08973733",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51526800",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "17-00359",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272003500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009983735",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51526801",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009983745",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02870955",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.