Safiul Hasan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

SH036123 Issued in MI

Practice address

4000 Highland Rd
Suite 100
Waterford, MI 48328-2167

Phone

(248) 682-4900

Fax

(248) 682-4909

NPI assigned

Sep 6, 2006

Last updated

Dec 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Gastroenterology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Safiul Hasan M.D. PC

  • Specialist
  • Waterford, MI
  • NPI 1689860769
  Medicare reassignment NPD Authorized official
• Gi Diagnostic Center Waterford

  • Specialist
  • Waterford, MI
  • NPI 1164601035
  NPD (past) Authorized official
• Tootla and Associates MD PC

  • Colon & Rectal Surgery Physician
  • Bloomfield Hills, MI
  • NPI 1528235538
  NPD

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

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1275636433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD",
            "address_2": "SUITE 200",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271975",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SAFIUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "SH036123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1781235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jane Harry
• Jennifer Lynn Hartmeyer, M.T.
• Lynn G Hartung, MA LPC
• Genice Mae Harvey
• Abdul Rahman Hasan, M.D.
• Hatahet Center PLLC
• Mohamad Ammar Hatahet, MD
• Domaniqwa Dashay Hatter
• Joan Hay, OTR
• Gregory James Hayes, MA, LLPC

• Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.

Verify at the official NPI Registry.