Hassan Mohamed Fouad Masroujeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14577 Issued in MN

Practice address

1700 Highway 36 W Ste 860
Roseville, MN 55113-4102

Phone

(651) 778-9911

NPI assigned

Jun 5, 2021

Sex

Male

Sole proprietor

No

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 MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Bloomington Dental Cliic

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1922153881
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1356918726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 ENSIGN RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554381025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W STE 860",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134102",
            "telephone_number": "651-778-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROUJEH",
        "first_name": "HASSAN",
        "middle_name": "MOHAMED FOUAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lee Manthey, MA, LPC
• Maple Psychiatry
• Michael Marcum, LADC
• Brian Scott Martell, M.D.
• Sharon Mason, M.A. L.P.
• Cheryl Kay Matascastillo, L.M.F.T.
• Mary Mateffy
• Melvy S Mathew
• Zachary Mattson, PA-C
• Scott Charles Mauch, M.D.

• General Practice Dentistry in Roseville, MN
• Providers in Roseville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.