Individual provider Active NPI

Mahad Mohamed Hassan, M.D.

  • Orthopaedic Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1245658012
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C207403 Issued in CA
Practice address
1250 16TH St Ste 2100
Santa Monica, CA 90404-1249
Phone
(424) 259-6593
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C207403 CA Primary
Orthopaedic Surgery Physician 207X00000X 283448 MA
Orthopaedic Surgery Physician 207X00000X 70139 MN

Addresses

Primary practice location

1250 16TH St Ste 2100
Santa Monica, CA 90404-1249

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

516 15th Ave SE Ste 190E
Minneapolis, MN 55455-0130
Phone (612) 884-0600

Other practice location 2

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 3

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210929000703 MN Practitioner - Orthopedic Surgery 4082039003 Reassigns benefits to 5 organizations
I20260601003757 CA Practitioner - Orthopedic Surgery 4082039003

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 2062312291, shared by 5 NPIs, 71 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

Hospital & facility affiliations

  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70139MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Tria Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients
University of Minnesota Physicians CurrentSince Oct 18, 2021 Accepting new patients
Tria Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients
Group Health, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Group Health, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Group Health, Inc. Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Oct 18, 2021 Accepting new patients
University of Minnesota Physicians CurrentSince Oct 18, 2021 Accepting new patients
Fairview Express Care CurrentSince Oct 18, 2021 Accepting new patients
Fairview Express Care CurrentSince Oct 18, 2021 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Oct 18, 2021 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

720 Washington Ave SE
Ste 200
Minneapolis, MN 55414
Phone (612) 730-1345

516 15th Ave SE
Ste 190E
Minneapolis, MN 55455
Phone (612) 626-2066

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

435 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200

Interoperability endpoints

  • Direct secure messaging: mhassan809183@direct.centracare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1245658012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST STE 2100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "424-259-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 15th Ave SE Ste 190E",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550130",
            "country_code": "US",
            "telephone_number": "612-884-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Northland Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554314800",
            "country_code": "US",
            "telephone_number": "952-831-8742",
            "fax_number": "952-831-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MAHAD",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C207403",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "283448",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "70139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.