Samir Sabir Hassan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.031668 Issued in IL

Practice address

15800 S Harlem Ave
Orland Park, IL 60462-5212

Phone

(708) 658-3356

NPI assigned

Mar 15, 2018

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: shassan17963@uihealth.direct-ci.com

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1871096883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E SOUTH WATER ST APT 3505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 S HARLEM AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625212",
            "telephone_number": "708-658-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SAMIR",
        "middle_name": "SABIR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "019.031668",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Hasan, OTD, OTR/L
• Tasneem Hasan, OTR
• Rewa Mahmoud Hasanat, M.D.
• Nancy Haskins, COTA
• Mohamad Ahmed Hassan, PT
• Sherjeel Hassan
• Have a Heart Health Care LTD.
• Esperlita Havel, PTA
• Hawk Psychological Services
• Christina Hawrysio, PTA

• Dentist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.