Fawaz M Hasso, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301083265 Issued in MI

Practice address

33200 Dequindre Rd
Suite 200
Sterling Heights, MI 48310-5967

Phone

(586) 977-0200

Fax

(586) 977-0000

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elite Family Medicine PLLCGroup PAC ID 5890015192, 2 clinicians

Medcenter Urgent Care PLLCGroup PAC ID 2062892193, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Troy, MI, CCN 237459
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fhasso63526@direct.hfhs.org

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.

• Elite Family Medicine PLLC

  • Primary Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1699164699
  Medicare reassignment Care Compare group NPD Authorized official
• Medcenter Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1699244533
  Medicare reassignment Care Compare group NPD Authorized official
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Residential Home Health, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1992768550
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1972647196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HAMLET DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD",
            "address_2": "SUITE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-977-0200",
            "fax_number": "586-977-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSO",
        "first_name": "FAWAZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alhawraa Hassan, PHARMD
• Khalid Hassan
• Usef Hassan
• Fagr Elsayed Farouk Elsay Hassanin
• Dalia Hasso, DDS
• Maha Hasso, MD
• Nellynn L. Hatch, P.A.-C
• Lyana Victoria Hattar, LPC
• Hatzis Dental Group PC
• Christofer Hatzis, DDS

• Family Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.

Verify at the official NPI Registry.