NPIMap

Individual provider Active NPI

Sulaiman B Hasan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albany, NY
National Provider Identifier
1962481689
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
167435 Issued in NY
Practice address
319 S Manning Blvd Ste 110a
Albany, NY 12208-1743
Phone
(518) 525-2525
NPI assigned
Jan 11, 2006
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 18795 WV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 167435 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 110a
Albany, NY 12208-1743

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

2345 Chesterfield Ave
Suite 307
Charleston, WV 25304-1069
Phone (304) 720-5126

Other practice location 2

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 525-2525

Other identifiers 1

IdentifierTypeStateIssuer
7400015000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, WI, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040519000641 WV Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 3971594946
I20200413001241 WI Practitioner - Cardiac Surgery 3971594946
I20200724000233 NY Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 3971594946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 110a
Albany, NY 12208-1743
Phone (518) 525-2525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
692WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, LLP Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2022 Accepting new patients
Ellis Hospital CurrentSince Nov 8, 2024 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
St. Peter's Hospital of the City of Albany Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
Riverside Chiropractic Center Inc Past Accepting new patients

Locations

319 S Manning Blvd
Ste 110A
Albany, NY 12208
Phone (518) 525-2525

1735 Route 9
Halfmoon, NY 12065
Phone (518) 269-4690

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

739 Irving Ave
Ste 640
Syracuse, NY 13210
Phone (315) 303-5659

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: shasan788280@direct.trinity-health.org

Organizations & group practices 8

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1962481689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 110A",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-525-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Chesterfield Ave",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041069",
            "country_code": "US",
            "telephone_number": "304-720-5126",
            "fax_number": "304-720-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652421",
            "country_code": "US",
            "telephone_number": "518-525-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SULAIMAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "18795",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "167435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400015000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "319 S Manning Blvd Ste 110A",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.