DR. HOSAM A HASSAN (OD) – Optometrist, NPI 1538822861

DR. HOSAM A HASSAN (OD) is a healthcare provider. based in Brooklyn center, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3759 (MN). The NPI Number for DR. HOSAM A HASSAN (OD) is 1538822861

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOSAM A HASSAN (OD)
NPI
1538822861
Phone
(612) 986-3037
Address
6130 FRANCE AVE N
Enumeration Date
13 October 2021
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079058827
Graduation Year
2021 (5 years ago)
PAC ID
6800286501
Group Practice PAC ID
4082515390
Professional Enrollment ID
I20211213002212
Address ID
FL327035327AP225XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. HOSAM A HASSAN (OD)

  • 6130 FRANCE AVE N

    BROOKLYN CENTER, MN 554294031

    Phone: (612) 986-3037

    Type: Mailing

  • 9117 LYNDALE AVE S

    BLOOMINGTON, MN 554203522

    Phone: (952) 230-6200

    Type: Location

  • 110 S WOODLAND ST

    WINTER GARDEN, FL 347873546

    Phone: (407) 905-8827

    Fax: (407) 905-8998

    Type: Mailing

  • 13275 W COLONIAL DR

    WINTER GARDEN, FL 347873984

    Phone: (407) 905-8827

    Fax: (407) 653-4079

    Type: Location

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: 2023-09-15

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
I20230915000459IOptometryFLTBD

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
92014Established patient complete exam of visual system4642$0
92250Photography of the retina3836$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55429)

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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: 4082515390View full group profile
NameSpecialtyState
Nurse PractitionerNY
O B S T E T R I C S/ G Y N E C O L O G YFL
Physician AssistantFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Family PracticeFL
Family PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. HOSAM A HASSAN (OD)'s NPI?
Yes. DR. HOSAM A HASSAN (OD) is listed with NPI 1538822861 in the public NPI dataset.
Does the file indicate DR. HOSAM A HASSAN (OD) is practicing under active NPI?
Directory data currently reports DR. HOSAM A HASSAN (OD) as active.
What taxonomy line describes DR. HOSAM A HASSAN (OD)?
For research purposes, treat DR. HOSAM A HASSAN (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. HOSAM A HASSAN (OD)?
DR. HOSAM A HASSAN (OD)'s geographic hint is Brooklyn Center, Minnesota in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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