Individual provider Active NPI

Edward F Hassan, M.D.

  • Internal Medicine Physician
  • East Bridgewater, MA
National Provider Identifier
1396784385
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54994 Issued in MA
Practice address
1 Donald's Way
Suite 200
East Bridgewater, MA 02333-1465
Phone
(781) 878-1700
Fax
(508) 894-0412
NPI assigned
Jun 5, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54994 MA Primary

Addresses

Primary practice location

1 Donald's Way
Suite 200
East Bridgewater, MA 02333-1465

Mailing address

1 Compass Way Ste 200
East Bridgewater, MA 02333-1464
Phone (781) 878-1700

Other identifiers 4

IdentifierTypeStateIssuer
60761OtherMAHPHC
54994OtherMATAHP
J09489OtherMABC/BS
CX2998OtherMAMEDICARE PTAN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060405000621 MA Practitioner - Internal Medicine 7416920715 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients

Locations

500 Belmont St
Ste 150
Brockton, MA 02301
Phone (508) 583-1195

1 Compass Way
Ste 200
East Bridgewater, MA 02333
Phone (508) 350-2300

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1396784385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 200",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331464",
            "telephone_number": "781-878-1700",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DONALD'S WAY",
            "address_2": "SUITE 200",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331465",
            "telephone_number": "781-878-1700",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "60761",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAHP",
            "identifier": "54994",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J09489",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CX2998",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.