DR. SUHEB MASHKOOR HASAN (MD) – Neurology Physician, NPI 1104933621

DR. SUHEB MASHKOOR HASAN (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301088848 (MI). The NPI Number for DR. SUHEB MASHKOOR HASAN (MD) is 1104933621

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUHEB MASHKOOR HASAN (MD)
NPI
1104933621
Phone
(313) 583-3915
Address
3815 PELHAM ST
Enumeration Date
23 August 2006
Last Update Date
5 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168855000
Graduation Year
1992 (34 years ago)
PAC ID
0648200964
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20061003000019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

965 NEUROLOGY in MI

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Provider Addresses for DR. SUHEB MASHKOOR HASAN (MD)

  • 3815, Pelham Street, Snow Woods, Dearborn, Wayne County, Michigan, 48124, United States

    STE 1

    DEARBORN, MI 481243852

    Phone: (313) 583-3915

    Fax: (313) 593-3810

    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: 2006-10-03

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
I20061003000019INeurologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes278151$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9348$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7876$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6967$0
95816Measurement of brain wave activity (eeg), awake and drowsy6363$0
View full utilization report →

Insurance plans in this area (ZIP 48124)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How is DR. SUHEB MASHKOOR HASAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SUHEB MASHKOOR HASAN (MD) with NPI 1104933621.
Is DR. SUHEB MASHKOOR HASAN (MD) still practicing?
DR. SUHEB MASHKOOR HASAN (MD) is currently listed as active in the public NPI registry.
What is DR. SUHEB MASHKOOR HASAN (MD)'s primary classification?
Neurology Physician is the headline specialty for DR. SUHEB MASHKOOR HASAN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SUHEB MASHKOOR HASAN (MD)?
DR. SUHEB MASHKOOR HASAN (MD)'s geographic hint is Dearborn, Michigan in our summary view.
Why does DR. SUHEB MASHKOOR HASAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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