NPIMap

Individual provider Active NPI

Basil S. Hassan, MD

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1932180437
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35490 Issued in IA
Practice address
230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone
(515) 471-1800
Fax
(515) 471-1801
NPI assigned
Nov 10, 2005
Last updated
Dec 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35490 IA Primary

Addresses

Primary practice location

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176

Mailing address

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone (515) 471-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040506001234 IA Practitioner - Family Practice 4082603048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone (515) 471-1800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dale M. Grunewald DO PC Family Medicine Current Accepting new patients
Dawn Marie Schissel PC Family Medicine Current Accepting new patients
Jordan Creek Family Medical Clinic PC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients

Locations

230 S 68th St
Ste 1203
West Des Moines, IA 50266
Phone (515) 471-1800

Interoperability endpoints

  • Direct secure messaging: basil@jcfmc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72558

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heartland Hospice (Des Moines)Ames, IA, CCN 161616 Hospice Contracted Managing Employee Apr 10, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1932180437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "BASIL",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.