KHALED HASSAN (MD) – Family Medicine Physician, NPI 1144807694

KHALED HASSAN (MD) is a healthcare provider. based in Pine bluff, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E15868 (AR). The NPI Number for KHALED HASSAN (MD) is 1144807694

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KHALED HASSAN (MD)
NPI
1144807694
Phone
(870) 541-6010
Address
1601 W 40TH AVE STE 100
Enumeration Date
29 March 2021
Last Update Date
27 September 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8703526300
Graduation Year
2019 (7 years ago)
PAC ID
6709262116
Group Practice PAC ID
5395024475
Professional Enrollment ID
I20221007000264
Address ID
AR717423026FO201XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,506 FAMILY PRACTICE in AR

Provider Addresses for KHALED HASSAN (MD)

  • 1601 W 40TH AVE STE 100

    PINE BLUFF, AR 716036069

    Phone: (870) 541-6010

    Fax: (870) 541-6009

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221007000264IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making163154$0
99285Emergency department visit with high level of medical decision making154145$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9563$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3935$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 71603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395024475View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineAR
General PracticeAR
Family PracticeAR
Family PracticeAR
-AR
Emergency MedicineAR
Family PracticeAR

Reviews

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Frequently asked questions

What is the standard ID for KHALED HASSAN (MD) in the U.S.?
In the U.S., KHALED HASSAN (MD) is identified by NPI 1144807694.
Quick check: is KHALED HASSAN (MD) active?
Public NPPES data shows KHALED HASSAN (MD) with an active NPI status right now.
What services align with KHALED HASSAN (MD)'s listing?
KHALED HASSAN (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KHALED HASSAN (MD) in Pine Bluff, Arkansas?
For routing, start with Pine Bluff, Arkansas for KHALED HASSAN (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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