DR. HASSANAIN A JASSIM (MD) – Surgery Physician, NPI 1912167065
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
848 GENERAL SURGERY in WI
Provider Addresses for DR. HASSANAIN A JASSIM (MD)
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
2845 GREENBRIER RD
GREEN BAY, WI 543116519
Phone: (920) 288-8000
Type: Location
1715, Dousman Street, Green Bay, Brown County, Wisconsin, 54303, United States
GREEN BAY, WI 543033211
Phone: (920) 496-4700
Type: Mailing
100 Theda Clark Medical Plz Ste 400
Neenah, WI 549562763
Phone: (920) 725-4527
Type: Location
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 549562763
Phone: (920) 725-4527
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($73).
Total Amount
$147
General + Research + Ownership
Payments
8
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130801000476 | I | General Surgery | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | 13 | $0 |
Insurance plans in this area (ZIP 60673)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| U R O L O G Y | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| N E U R O L O G Y | WI | |
| - | WI | |
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | WI | |
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| - | ME | |
| Physician Assistant | IL |
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