NPIMap

Individual provider Active NPI

Hazem Hawasli, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1497988166
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0074477 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-9446
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301090368 MI
Diagnostic Radiology Physician 2085R0202X 15299 NH
Diagnostic Radiology Physician 2085R0202X D0074477 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

PO Box 64358
Baltimore, MD 21264-4358
Phone (410) 955-9446

Other identifiers 1

IdentifierTypeStateIssuer
055836200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120710000497 MD Practitioner - Diagnostic Radiology 9133391543 Reassigns benefits to 1 organization
I20160201001713 MI Practitioner - Diagnostic Radiology 9133391543 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

1300 Fieldway CT
Bloomfield Hills, MI 48302-0833
Phone (404) 521-4578

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074477MDMDDiagnostic Radiology Physician
15299NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 5, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Johns Hopkins University CurrentSince Jun 2, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 5, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Feb 3, 2018 Accepting new patients
Hurley Medical Center CurrentSince Feb 3, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Henry Ford Health System CurrentSince Jan 5, 2016 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Jan 5, 2016 Accepting new patients
Henry Ford Health System Current Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

Interoperability endpoints

  • Direct secure messaging: hhawasli385164@direct.hfhs.org
  • Direct secure messaging: hhawasli12763@direct.hopkinsmedicine.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1497988166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64358",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644358",
            "telephone_number": "410-955-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWASLI",
        "first_name": "HAZEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301090368",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "15299",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0074477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055836200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.