NPIMap

Individual provider Active NPI

Bassel Hassouna, M.D.

  • Interventional Cardiology Physician
  • Wayne, MI
National Provider Identifier
1780918946
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301502268 Issued in MI
Practice address
4020 Venoy Rd Ste 200
Wayne, MI 48184-1899
Phone
(734) 729-6710
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301502268 MI Primary
Internal Medicine Physician 207R00000X MD040741 DC

Addresses

Primary practice location

4020 Venoy Rd Ste 200
Wayne, MI 48184-1899

Mailing address

4020 Venoy Rd Ste 200
Wayne, MI 48184-1899
Phone (734) 729-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201105000599 MI Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9436569274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVP Endovascular Center PLLCGroup PAC ID 7315297827, 6 clinicians
Halo Medical Group PLLCGroup PAC ID 1850587890, 17 clinicians

Practice addresses (Care Compare)

22720 Michigan Ave
Suite 300
Dearborn, MI 48124-2035
Phone (313) 791-3000

4160 John R St
Suite 510
Detroit, MI 48201-2021
Phone (313) 993-7777

Hospital & facility affiliations

  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040741DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Medical Group PLLC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000

22720 Michigan Ave
Ste 300
Dearborn, MI 48124
Phone (313) 791-3000

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

20240 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 331-1400

4020 Venoy Rd
Ste 200
Wayne, MI 48184
Phone (734) 729-1900

Interoperability endpoints

  • Direct secure messaging: bhassouna1131630@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1780918946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 200",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841899",
            "telephone_number": "734-729-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 200",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841899",
            "telephone_number": "734-729-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUNA",
        "first_name": "BASSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301502268",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD040741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.