Active NPI
Hasan B Alam, MD
- Trauma Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 036153320
- Practice address
- 259 E Erie St Ste 1600
Chicago, IL 60611-3111 - Phone
- (312) 695-5620
- Fax
- (312) 695-2729
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301101784 | MI | |
| Surgery Physician | 208600000X | 224253 | MA | |
| Surgical Critical Care Physician | 2086S0102X | 4301104784 | MI | |
| Surgical Critical Care Physician | 2086S0102X | 224253 | MA | |
| Trauma Surgery Physician | 2086S0127X | 036153320 | IL | Primary |
Addresses
Primary practice location
259 E Erie St Ste 1600
Chicago, IL 60611-3111
Mailing address
259 E Erie St Ste 1600
Chicago, IL 60611-3111
Phone (312) 695-5620
Other practice location 1
1500 East Medical Center Drive
2nd floor Taubman Center Recp F
Ann Arbor, MI 48109-5332
Phone (734) 936-5738
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J28695 | Other | MA | BCBS OF MA |
| 2102587 | Medicaid | MA | |
| 468294 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 E Erie St
Chicago, IL 60611-2930
Phone (312) 503-1944
Hospital & facility affiliations
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104784 | MI | MD | Surgical Critical Care Physician |
| 036153320 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Past | Accepting new patients |
| Washington Metropolitan Practice Plan | Surgical Critical Care | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
676 N Saint Clair St
Ste 2320
Chicago, IL 60611
Phone (312) 926-2016
259 E Erie St
Ste 1600
Chicago, IL 60611
259 E Erie St
Chicago, IL 60611
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- Acute Care Nurse Practitioner
- Washington, DC
- NPI 1013989896
Surgical Critical Care
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1902880321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-5620",
"fax_number": "312-695-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-5620",
"fax_number": "312-695-2729"
}
],
"practiceLocations": [
{
"address_1": "1500 East Medical Center Drive",
"address_2": "2nd floor Taubman Center Recp F",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095332",
"country_code": "US",
"telephone_number": "734-936-5738",
"fax_number": "734-936-6927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAM",
"first_name": "HASAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301101784",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "224253",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MI",
"license": "4301104784",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MA",
"license": "224253",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036153320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "J28695",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "468294",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.