Active NPI
Chandra Hassan, M.D.,
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036139682
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2963468 | Medicaid | OH |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115017 | CA | MD | Surgery Physician |
| 036139682 | IL | MD | Surgery Physician |
| 35.093595 | OH | MD | Surgery Physician |
| MD432412 | PA | MD | Surgery Physician |
Practice roles
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
- drhassan@gcbariatrics.kareodirect.com
- 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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Surgery Physician
- Chicago, IL
- NPI 1932815123
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1881086064
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1023451119
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1013012939
-
dba The Physician Center
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1295010056
Surgery
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba University of Illinois Medical Center at Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Illinois Hospital and Clinics
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.