Active NPI
Ali Hassan, MD
- Emergency Medicine Physician
- Dearborn, MI
National Provider Identifier
1316906142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301077883
- Practice address
- 23455 Michigan Ave
Dearborn, MI 48124-1908 - Phone
- (313) 438-6094
- Fax
- (313) 438-6132
- NPI assigned
- Mar 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301077883 | MI | Primary |
Addresses
Primary practice location
23455 Michigan Ave
Dearborn, MI 48124-1908
Mailing address
23455 Michigan Ave
Dearborn, MI 48124-1908
Phone (313) 438-6094
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104661590 | Medicaid | MI | |
| AH077883 | Other | MI | BC/BS OF MI |
| 104613270 | Medicaid | MI | |
| 104661606 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (734) 333-8001
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 49.76
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Emergency Services | Current | Accepting new patients | |
| Occmed Connect LLC | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
Interoperability endpoints
- ali.hassan.1@20203.direct.athenahealth.com
- ahassan@direct.dmc.org
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.
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
-
- Emergency Medical Services (Emergency Medicine) Physician
- Detroit, MI
- NPI 1902855711
-
- Urgent Care Clinic/Center
- Garden City, MI
- NPI 1811767023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1316906142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23455 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241908",
"telephone_number": "313-438-6094",
"fax_number": "313-438-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23455 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241908",
"telephone_number": "313-438-6094",
"fax_number": "313-438-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301077883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104661590",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI",
"identifier": "AH077883",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104613270",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104661606",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.