Individual provider Active NPI

Hassan Ben Nasser, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Saint Clair Shores, MI
National Provider Identifier
1902293129
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
4301501821 Issued in MI
Practice address
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone
(586) 779-7610
Fax
(586) 779-7685
NPI assigned
Apr 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301501821 MI
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 4301501821 MI Primary

Addresses

Primary practice location

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156

Mailing address

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610

Other practice location 1

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000

Other practice location 2

11900 E 12 Mile Rd Ste 210
Warren, MI 48093-3490
Phone (586) 582-7100

Other practice location 3

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 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
I20200722002844 MI Practitioner - Otolaryngology 2466876586 Reassigns benefits to 8 organizations
I20240215002593 GA Practitioner - Otolaryngology 2466876586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians
Barbara Ann Karmanos Cancer InstituteGroup PAC ID 3870407901, 57 clinicians
McLaren OaklandGroup PAC ID 0547173213, 51 clinicians

Practice addresses (Care Compare)

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

Hospital & facility affiliations

  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501821MIMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint CurrentSince Jul 22, 2024 Accepting new patients
McLaren Flint CurrentSince Jul 22, 2024 Accepting new patients
Henry Ford Health St. John Hospital Otolaryngology CurrentSince Jun 1, 2021 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
McLaren Oakland CurrentSince Jun 1, 2024 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology Current Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Mar 1, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jun 1, 2021 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2024 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology CurrentSince Dec 13, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Mar 1, 2024 Accepting new patients
McLaren Oakland CurrentSince Jun 1, 2024 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 1, 2021 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jun 1, 2021 Accepting new patients
Advanced Dermatology of Michigan PC CurrentSince Jan 27, 2026 Accepting new patients
Ear Nose and Throat Consultants PC CurrentSince Dec 15, 2023 Accepting new patients
University Physician Group Past Accepting new patients
Barbara Ann Karmanos Cancer Hospital Past Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

18800 Hubbard Dr
Dearborn, MI 48126
Phone (313) 576-9182

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

17900 23 Mile Rd
Ste 205
Macomb, MI 48044
Phone (313) 885-6367

26850 Providence Pkwy
Ste 165
Novi, MI 48374

4170 Cedar Bluff Dr
Petoskey, MI 49770

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

30550 Utica Rd
Roseville, MI 48066
Phone (586) 771-0290

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

Interoperability endpoints

  • Direct secure messaging: hnasser742455@direct.hfhs.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 8

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": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1902293129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 111",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-779-7610",
            "fax_number": "586-779-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 111",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-779-7610",
            "fax_number": "586-779-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 E 12 Mile Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933490",
            "country_code": "US",
            "telephone_number": "586-582-7100",
            "fax_number": "586-582-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481926103",
            "country_code": "US",
            "telephone_number": "734-282-2500",
            "fax_number": "734-282-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "HASSAN",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301501821",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "4301501821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.