Mohamed T Hassanein, M.D. PH.D. M.P.H.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · San Diego, CA
NPI 1326434655 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1326434655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- A167128 (CA)
- Practice address
- 8010 Frost St Ste 408
San Diego, CA 92123-4222 - Phone
- (858) 939-7471
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Cardiac Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Diego Cardiovascular and Thoracic Surgeons Inc
Practice addresses (Care Compare)
8008 Frost St
Suite 300
San Diego, CA 92123-4230
Phone (858) 939-7471
Hospital & facility affiliations
- Sharp Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728001669 | NY | Practitioner - Cardiac Surgery | 7315329984 | Reassigns benefits to 1 organization |
| I20231023003468 | CA | Practitioner - Cardiac Surgery |
7315329984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167128 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 317567 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Multi-Specialty | Current |
Accepting new patients |
| Trustees of Columbia University in the City of New York | Multi-Specialty | Current |
Accepting new patients |
| San Diego Cardiovascular and Thoracic Surgeons, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Sharp Healthcare | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
8008 Frost St
Ste 300
San Diego, CA 92123
Phone (858) 939-7471
8010 Frost St
Ste 408
San Diego, CA 92123
Phone (858) 715-0465
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- zro9001@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 317567 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | A167128 | CA | Yes |
Addresses
Primary practice location
8010 Frost St Ste 408
San Diego, CA 92123-4222
Mailing address
8010 Frost St Ste 408
San Diego, CA 92123-4222
Phone (858) 939-7471
Other providers in San Diego, CA
- Sharjeel Hassan
- Sucdi Mohamed Hassan
- Yasmin M Hassan
- Affaf Selma Hassane
- Asmaa Hassanein
- Rebecca Hassanein
- Seyedeh Zahra Hassantash
- Niyaz Hassanzadeh
- Jessica Katelyn Hasselbar
- Craig Hasselbring
All providers in San Diego, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.