AMAL YUSUF HASSAN (MD) – Family Medicine Physician, NPI 1083177042

AMAL YUSUF HASSAN (MD) is a healthcare provider. based in San jose, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A181949 (CA). The NPI Number for AMAL YUSUF HASSAN (MD) is 1083177042

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMAL YUSUF HASSAN (MD)
NPI
1083177042
Phone
Not provided
Address
455 OCONNOR DR STE 250
Enumeration Date
8 April 2019
Last Update Date
23 September 2022

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
40844534003730
Graduation Year
2019 (7 years ago)
PAC ID
5395121040
Group Practice PAC ID
1153406665
Professional Enrollment ID
I20221003002788
Address ID
CA951211800SA1642XEXPY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for AMAL YUSUF HASSAN (MD)

  • 455 OCONNOR DR STE 250

    SAN JOSE, CA 951281644

    Phone:

    Type: Mailing

  • 455 OConnor Dr Ste 250

    San Jose, CA 951281644

    Phone: (408) 283-7767

    Type: Location

  • 5915 HOLLIS ST STE B

    EMERYVILLE, CA 946082066

    Phone: (510) 286-8160

    Type: Mailing

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: 2022-10-03

PECOS data refreshed: 2026-05-27

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
I20221003002788IFamily PracticeCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11396$0
99214Established patient office or other outpatient visit, 30-39 minutes11286$0
99215Established patient office or other outpatient visit, 40-54 minutes9672$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5656$0
G0008Administration of influenza virus vaccine3232$0
View full utilization report →

Insurance plans in this area (ZIP 95128)

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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: 1153406665View full group profile
NameSpecialtyState
Internal MedicineCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Family Practice, Osteopathic Manipulative MedicineCA
Clinical PsychologistCA
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I use this page to confirm AMAL YUSUF HASSAN (MD)'s NPI?
Yes. AMAL YUSUF HASSAN (MD) is listed with NPI 1083177042 in the public NPI dataset.
Is AMAL YUSUF HASSAN (MD) still practicing?
AMAL YUSUF HASSAN (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes AMAL YUSUF HASSAN (MD)?
For research purposes, treat AMAL YUSUF HASSAN (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does AMAL YUSUF HASSAN (MD) serve?
AMAL YUSUF HASSAN (MD)'s listing highlights San Jose, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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