DR. CHOUDHURY S HASAN (M.D.) – Gastroenterology Physician, NPI 1629187752

DR. CHOUDHURY S HASAN (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301116720 (MI). The NPI Number for DR. CHOUDHURY S HASAN (M.D.) is 1629187752

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHOUDHURY S HASAN (M.D.)
NPI
1629187752
Phone
(248) 898-5000
Address
3601 W 13 Mile Rd
Enumeration Date
30 August 2006
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3152653300
Graduation Year
1986 (40 years ago)
PAC ID
9638336530
Group Practice PAC ID
6204827280
Professional Enrollment ID
I20120203000728
Address ID
NY136761786PO50XXXSTXX300

Contacts

Secure Messaging
chasan1869053@epic00.shdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

648 GASTROENTEROLOGY in MI

Provider Addresses for DR. CHOUDHURY S HASAN (M.D.)

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-5000

    Type: Location

  • 1234 Napier Ave

    Saint Joseph, MI 490852112

    Phone: (269) 985-4632

    Type: Location

  • 63rd Drive, Rego Park, Queens, New York, 11374, United States

    SUITE-CA

    REGO PARK, NY 113742243

    Phone: (718) 830-3388

    Fax: (718) 732-1667

    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: 2019-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120203000728IGastroenterologyNYTBD
I20190131000319IGastroenterologyMITBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes125115$0
99213Established patient office or other outpatient visit, 20-29 minutes5642$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5544$0
99214Established patient office or other outpatient visit, 30-39 minutes3025$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 6204827280View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNY
Clinical Social WorkerNY
Physician AssistantFL
Vascular SurgeryNY
Certified Registered Nurse Anesthetist (Crna)NY
Pulmonary DiseaseNM
-NY
-OH
Physician AssistantOH
Hematology/Oncology, Medical OncologyNY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHOUDHURY S HASAN (M.D.)'s NPI?
Yes. DR. CHOUDHURY S HASAN (M.D.) is listed with NPI 1629187752 in the public NPI dataset.
Does the file indicate DR. CHOUDHURY S HASAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHOUDHURY S HASAN (M.D.) as active.
What is DR. CHOUDHURY S HASAN (M.D.)'s specialty?
The listing groups DR. CHOUDHURY S HASAN (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CHOUDHURY S HASAN (M.D.)?
DR. CHOUDHURY S HASAN (M.D.)'s geographic hint is Royal Oak, Michigan in our summary view.
Why does DR. CHOUDHURY S HASAN (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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