Active NPI
Adam S Hassan, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 4301072672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 90.41
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072672 | MI | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic and Reconstructive Eye Surgery PC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1417998337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.