Individual provider Active NPI

Chandra Hassan, M.D.,

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1508031824
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036139682 Issued in IL
Practice address
1801 W Taylor St Ste 3F
Chicago, IL 60612-4795
Phone
(312) 355-1493
Fax
(312) 355-1987
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD432412 PA
Surgery Physician 208600000X A115017 CA
Surgery Physician 208600000X 35.093595 OH
Surgery Physician 208600000X 036139682 IL Primary

Addresses

Primary practice location

1801 W Taylor St Ste 3F
Chicago, IL 60612-4795

Mailing address

1801 W Taylor St Ste 3F
Chicago, IL 60612-4795
Phone (312) 355-1493

Other practice location 1

2322 E 22nd St
Suite 207
Cleveland, OH 44115-3176
Phone (216) 363-2578

Other practice location 2

2875 W 19th St
Chicago, IL 60623-3501
Phone (773) 484-4425

Other identifiers 1

IdentifierTypeStateIssuer
2963468MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160414001591 IL Practitioner - General Surgery 8820144223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

840 S Wood St MC
958 Uic Surgery
Chicago, IL 60612-4325
Phone (312) 355-0104

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115017CAMDSurgery Physician
036139682ILMDSurgery Physician
35.093595OHMDSurgery Physician
MD432412PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 15, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 15, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Mar 15, 2016 Accepting new patients
Gold Coast Bariatrics LLC Surgery CurrentSince May 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 1, 2021 Accepting new patients
Pathology Services Illinois, LTD Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 1, 2021 Accepting new patients
Saint Anthony Health Affiliates Surgery CurrentSince Mar 26, 2020 Accepting new patients
Mount Sinai Community Foundation Dba Sinai Medical Group CurrentSince Mar 15, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Surgery PastSince Jul 24, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Surgery PastSince Jul 24, 2022 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

840 S Wood St
#958
Chicago, IL 60612
Phone (312) 355-1493

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

1801 W Taylor St
Ste 3F
Chicago, IL 60612
Phone (312) 996-4942

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: drhassan@gcbariatrics.kareodirect.com
  • Direct secure messaging: chassan17098@uihealth.direct-ci.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508031824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST STE 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-1493",
            "fax_number": "312-355-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST STE 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-1493",
            "fax_number": "312-355-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 E 22nd St",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153176",
            "country_code": "US",
            "telephone_number": "216-363-2578",
            "fax_number": "216-592-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2875 W 19th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606233501",
            "country_code": "US",
            "telephone_number": "773-484-4425",
            "fax_number": "773-521-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "CHANDRA",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD432412",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A115017",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.093595",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036139682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.