Individual provider Active NPI

Samer Ahmad Ali-Hasan, M.D.

  • Cardiovascular Disease Physician
  • Midland, MI
National Provider Identifier
1699869503
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301101928 Issued in MI
Practice address
2660 W Sugnet Rd
Midland, MI 48640-2647
Phone
(989) 832-0900
Fax
(989) 633-0349
NPI assigned
Oct 3, 2006
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01063288A IN
Cardiovascular Disease Physician 207RC0000X 35.094208 OH
Interventional Cardiology Physician 207RI0011X MD202142 LA
Cardiovascular Disease Physician 207RC0000X 036121333 IL
Interventional Cardiology Physician 207RI0011X 036121333 IL
Interventional Cardiology Physician 207RI0011X 4301101928 MI
Cardiovascular Disease Physician 207RC0000X 4301101928 MI Primary

Addresses

Primary practice location

2660 W Sugnet Rd
Midland, MI 48640-2647

Mailing address

2660 W Sugnet Rd
Midland, MI 48640-2647
Phone (989) 832-0900

Other practice location 1

3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Phone (269) 985-1000

Other practice location 2

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 684-6777

Other practice location 3

619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150831001001 NY Practitioner - Cardiovascular Disease (Cardiology) 0446323976 Reassigns benefits to 1 organization
I20241010001214 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0446323976 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202142LAMDRegistered Nurse
01063288AINMDCardiovascular Disease Physician
35.094208OHMDCardiovascular Disease Physician
MD202142LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Apr 25, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Cardiovascular Disease CurrentSince Apr 25, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Cardiovascular Disease CurrentSince Apr 1, 2015 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Nov 11, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Cardiovascular Disease Current Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Sep 10, 2024 Accepting new patients
Fauster Cameron Inc. Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

2 Palisades Dr
Albany, NY 12205

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: salihasan80112@sih.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1699869503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W SUGNET RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402647",
            "telephone_number": "989-832-0900",
            "fax_number": "989-633-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W SUGNET RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402647",
            "telephone_number": "989-832-0900",
            "fax_number": "989-633-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Hollywood Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859151",
            "country_code": "US",
            "telephone_number": "269-985-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 N Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202207",
            "country_code": "US",
            "telephone_number": "269-684-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 E Mason St Ste 4P57",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627011034",
            "country_code": "US",
            "telephone_number": "217-788-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI-HASAN",
        "first_name": "SAMER",
        "middle_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01063288A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.094208",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD202142",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036121333",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036121333",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301101928",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301101928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.