NPIMap

Individual provider Active NPI

Basel S Hassoun, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1568579308
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18282 Issued in OK
Practice address
4200 W Memorial Rd
Suite 501
Oklahoma City, OK 73120-8359
Phone
(405) 749-9889
Fax
(405) 755-1166
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18282 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd
Suite 501
Oklahoma City, OK 73120-8359

Mailing address

4200 W Memorial Rd
Suite 501
Oklahoma City, OK 73120-8359
Phone (405) 749-9889

Other identifiers 1

IdentifierTypeStateIssuer
100042740AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000177 OK Practitioner - Urology 4981709920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

4200 W Memorial Rd
Suite 501
Oklahoma City, OK 73120-8359
Phone (405) 749-9889

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18282OKMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Surgeons of Oklahoma PC Urology CurrentSince Dec 1, 2008 Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince May 14, 2020 Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Saints Medical Group, LLC Urology Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

4200 W Memorial Rd
Ste 501
Oklahoma City, OK 73120
Phone (405) 749-9889

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Interoperability endpoints

  • Direct secure messaging: bhassoun@direct.uspi.com
  • Direct secure messaging: urologysurgeonsofoklahoma.baselhassoun@155211.advancedmd-direct.com
  • Direct secure messaging: bhassoun@yourcarecommunity.org

Organizations & group practices 6

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 8

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1568579308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-749-9889",
            "fax_number": "405-755-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-749-9889",
            "fax_number": "405-755-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUN",
        "first_name": "BASEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "18282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.