Physician Compare National (NPI:1508249285)

HEALTHCARE PROVIDER: AHMED HASSAN D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508249285
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901104207
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180611002451
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HASSAN
	Individual professional last name
Provider First Name	AHMED
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	INPATIENT PHYSICIAN ASSOCIATES PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1759379092
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	421 E STATE HWY 114
	Group Practice or individual's line 1 address
City	SOUTHLAKE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760923635
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8178654400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHOEBE PUTNEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450678
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y