Individual provider Active NPI

Adnan Hassoune, M.D.

  • Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1215554829
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
75634 Issued in AZ
Practice address
2755 Silver Creek Rd Ste 111
Bullhead City, AZ 86442-8343
Phone
(928) 704-7163
NPI assigned
Jun 30, 2020
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 75634 AZ Primary

Addresses

Primary practice location

2755 Silver Creek Rd Ste 111
Bullhead City, AZ 86442-8343

Mailing address

2755 Silver Creek Rd Ste 111
Bullhead City, AZ 86442-8343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250805004189 AZ Practitioner - General Surgery 4587172929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians

Practice addresses (Care Compare)

2755 Silver Creek Rd
Suite 111
Bullhead City, AZ 86442-8343
Phone (928) 704-7163

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp CurrentSince Aug 1, 2025 Accepting new patients
Bullhead City Clinic Corp Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 704-6741

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

Interoperability endpoints

  • Direct secure messaging: adnan.hassoune.1@1575.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1215554829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 111",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 111",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428343",
            "telephone_number": "928-704-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUNE",
        "first_name": "ADNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "75634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.