Individual provider Active NPI

Adam S Hassan, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1477561140
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
4301072672 Issued in MI
Practice address
2757 Leonard St NE
Grand Rapids, MI 49525-5807
Phone
(616) 942-6687
Fax
(616) 942-9797
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301072672 MI
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 4301072672 MI Primary

Addresses

Primary practice location

2757 Leonard St NE
Grand Rapids, MI 49525-5807

Mailing address

2757 Leonard St NE
Grand Rapids, MI 49525-5807
Phone (616) 942-6687

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000133 MI Practitioner - Ophthalmology 0648378398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic and Reconstructive Eye Surgery PCGroup PAC ID 3577511914, 3 clinicians

Practice addresses (Care Compare)

2757 Leonard St NE
Suite 300
Grand Rapids, MI 49525-5807
Phone (616) 942-6687

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.21 of 100Reported as group
Quality
90.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072672MIMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic and Reconstructive Eye Surgery PC Ophthalmology CurrentSince Jul 1, 2007 Accepting new patients

Locations

2757 Leonard St NE
Grand Rapids, MI 49525
Phone (616) 940-0481

2757 Leonard St NE
Ste 300
Grand Rapids, MI 49525
Phone (616) 942-6687

Interoperability endpoints

  • Direct secure messaging: adhassan@efcs.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1477561140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-942-6687",
            "fax_number": "616-942-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-942-6687",
            "fax_number": "616-942-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301072672",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301072672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.