Organization Active NPI

Hassan Kassamali, MD PA

  • Cardiovascular Disease Physician
  • Rosedale, MD
National Provider Identifier
1376843094
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0046126 Issued in MD
Legal business name
HASSAN KASSAMALI, MD PA
Practice address
17 Fontana LN
Suite 101
Rosedale, MD 21237-3017
Phone
(410) 687-0000
Fax
(410) 391-8656
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Hassan Kassamali, M.D., PANPI 1053324962
Title
Physician
Phone
(410) 687-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X D0046126 MD Primary

Addresses

Primary practice location

17 Fontana LN
Suite 101
Rosedale, MD 21237-3017

Mailing address

17 Fontana LN
Suite 101
Rosedale, MD 21237-3017
Phone (410) 687-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000517 MD Part B Supplier - Clinic/Group Practice 5092901470 Receives reassigned benefits from 4 practitioners
Practice locations: Rosedale, MD

National Provider Directory

National Provider Directory

Locations

17 Fontana Ln
Ste 101103
Rosedale, MD 21237

17 Fontana Ln
Ste 101
Rosedale, MD 21237
Phone (410) 687-0000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1376843094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 101",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373017",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 101",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373017",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAN KASSAMALI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "KASSAMALI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-687-0000",
        "authorized_official_credential": "M.D., PA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0046126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.