Hassan Abbas, RN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Royal Oak, MI
NPI 1629649736 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1629649736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704330083 (MI)
- Practice address
- 323 N Vermont Ave
Royal Oak, MI 48067-2020 - Phone
- (313) 632-0550
- NPI assigned
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Essential Anesthesia Services, PLC
Northstar Anesthesia of Michigan III PLLC
Practice addresses (Care Compare)
264 W Maple Rd
Suite 200
Troy, MI 48084-5458
Phone (248) 273-9930
33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (214) 687-0001
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929002243 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981058526 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Anesthesia Services, PLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gastrointestinal Specialists PC | Current |
Accepting new patients |
Locations
264 W Maple Rd
Ste 100
Troy, MI 48084
Phone (248) 269-5594
264 W Maple Rd
Ste 200
Troy, MI 48084
Phone (248) 273-9930
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704330083 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704330083 | MI | Yes |
Addresses
Primary practice location
323 N Vermont Ave
Royal Oak, MI 48067-2020
Mailing address
323 N Vermont Ave
Royal Oak, MI 48067-2020
Phone (313) 632-0550
Other providers in Royal Oak, MI
- 198275 Mi LLC
- A Woman'S Image, LLC
- A.R. Therapy LLC
- Antonino Sebastian Abate
- Ahmed S Abbas
- Hayah Abbasi
- Mary Ann Abbass
- Ann Abbey
- Mushtak A Abbou
- Mohamed Abdalaziz
All providers in Royal Oak, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.