Individual provider Active NPI

Ahmad Hage Hassan, PA-C

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1457245482
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013539 Issued in MI
Practice address
18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(248) 478-1500
Fax
(248) 478-2798
NPI assigned
Jun 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013539 MI Primary

Addresses

Primary practice location

18302 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 478-1500

Other practice location 1

7633 E Jefferson Ave Ste 180
Detroit, MI 48214-3731
Phone (248) 478-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115003885 MI Practitioner - Physician Assistant 8628555034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15001 Kercheval Ave
Grosse Pointe Park, MI 48230-1361

18302 Middlebelt Rd
Livonia, MI 48152-5007

43250 Candlewood CT
Canton, MI 48187-2008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601013539MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Famwell Health PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4353 Maple St
Dearborn, MI 48126
Phone (313) 908-0004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1457245482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-478-1500",
            "fax_number": "248-478-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-478-1500",
            "fax_number": "248-478-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7633 E Jefferson Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143731",
            "country_code": "US",
            "telephone_number": "248-478-1500",
            "fax_number": "248-478-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGE HASSAN",
        "first_name": "AHMAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.