Individual provider Active NPI

Yusuf Hassan, M.D.

  • Cardiovascular Disease Physician
  • Prescott, AZ
National Provider Identifier
1609004233
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E-13254 Issued in AR
Practice address
726 Gail Gardner Way
Suite a
Prescott, AZ 86305-2314
Phone
(928) 778-0309
Fax
(928) 778-2678
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44102 AZ
Interventional Cardiology Physician 207RI0011X 44102 AZ
Cardiovascular Disease Physician 207RC0000X E-13254 AR Primary

Addresses

Primary practice location

726 Gail Gardner Way
Suite a
Prescott, AZ 86305-2314

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 771-0304

Other practice location 1

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other identifiers 1

IdentifierTypeStateIssuer
588914MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, PA, WV, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200713001718 AR Practitioner - Interventional Cardiology 7416137419 Reassigns benefits to 2 organizations
I20241105001982 PA Practitioner - Internal Medicine 7416137419 Reassigns benefits to 1 organization
I20241201000068 WV Practitioner - Internal Medicine 7416137419 Reassigns benefits to 1 organization
I20260422001772 MD Practitioner - Interventional Cardiology 7416137419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

100 Woodlawn Ave
Uniontown, PA 15401-3105
Phone (724) 430-5600

13079 Garrett Hwy
Oakland, MD 21550-1163
Phone (844) 424-0411

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13254ARMDCardiovascular Disease Physician
44102AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 28, 2020 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Oct 25, 2024 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Oct 25, 2024 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince May 28, 2020 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 28, 2020 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 24, 2024 Accepting new patients
Juan Joel Garza, MD PA Cardiovascular Disease Past Accepting new patients
Fayette Physician Network Inc Family Medicine Past Accepting new patients

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

13079 Garrett Hwy
Oakland, MD 21550
Phone (304) 599-1100

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 11

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 9

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609004233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-771-0304",
            "fax_number": "928-778-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GAIL GARDNER WAY",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052314",
            "telephone_number": "928-778-0309",
            "fax_number": "928-778-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "YUSUF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "44102",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "44102",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-13254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.