Sami Hassan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9501704 Issued in NC

Practice address

207 Balfour Dr
Ste 102
Archdale, NC 27263-3532

Phone

(336) 875-8134

Fax

(336) 875-8136

NPI assigned

Mar 6, 2007

Last updated

Jul 28, 2014By 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

Medicare fee-for-service enrollment

Enrolled in NC

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

Internal Medicine

Education

Brody School of Medicine at East Carolina University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uwharrie Medical Center PAGroup PAC ID 2466485073, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Uwharrie Medical Center, PA

  • Internal Medicine Physician
  • Archdale, NC
  • NPI 1033224274
  Medicare reassignment Care Compare group NPD Authorized official
• Denton Center LLC

  • Primary Care Clinic/Center
  • Asheboro, NC
  • NPI 1598707713
  NPD (past)
• Jason & Sibs, Inc.

  dba Swallowing Diagnostics

  • Radiology Clinic/Center
  • Winston Salem, NC
  • NPI 1134380454
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1346370996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BALFOUR DR",
            "address_2": "STE 102",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633532",
            "telephone_number": "336-875-8134",
            "fax_number": "336-875-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BALFOUR DR",
            "address_2": "STE 102",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633532",
            "telephone_number": "336-875-8134",
            "fax_number": "336-875-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SAMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9501704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gibson
• Courtney Tuckfield Gill, M.A., LPC
• Thomas Gresalfi
• Happily Ever After (The Boutique)
• Brionna Datrese Harpe, MSW, LCSW-A
• He's Able Medical Transportation
• Heag Pain Management Center PA
• Healthkeeperz, Inc
• Healthkeeperz, Inc
• Healthy Living Foundation Inc

• Internal Medicine Physician in Archdale, NC
• Providers in Archdale, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.