AMR R. HASSAN (MD) – Hematology & Oncology Physician, NPI 1366489569

AMR R. HASSAN (MD) is a healthcare provider. based in South jordan, Utah. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME136161 (FL). The NPI Number for AMR R. HASSAN (MD) is 1366489569

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
AMR R. HASSAN (MD)
NPI
1366489569
Phone
Not provided
Address
PO BOX 95590
Enumeration Date
31 May 2006
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504697975
Graduation Year
2002 (24 years ago)
PAC ID
6800803966
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20241001004550
Address ID
FL325032254PE125XXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for AMR R. HASSAN (MD)

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone:

    Type: Mailing

  • 125 BAPTIST WAY STE 1C

    PENSACOLA, FL 325032274

    Phone: (448) 227-6000

    Type: Location

  • 2865 DAGGETT AVE OFC

    KLAMATH FALLS, OR 976011106

    Phone: (541) 274-4171

    Fax: (541) 274-4579

    Type: Mailing

  • 2610, Uhrmann Road, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 97601

    Phone: (541) 274-4171

    Fax: (541) 274-4679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-08-31 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-01

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
I20181026001231IInternal MedicineORTBD
I20241001004550IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes240131$0
99213Established patient office or other outpatient visit, 20-29 minutes220138$0
99204New patient office or other outpatient visit, 45-59 minutes8080$0
99215Established patient office or other outpatient visit, 40-54 minutes2117$0
99212Established patient office or other outpatient visit, 10-19 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 9638215734View full group profile

Reviews

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Frequently asked questions

Can I cross-check AMR R. HASSAN (MD) using NPI 1366489569?
NPI 1366489569 belongs to AMR R. HASSAN (MD); compare other details if you need extra assurance.
Active or inactive — what applies to AMR R. HASSAN (MD)?
You should see AMR R. HASSAN (MD) as active in CMS-hosted NPPES data.
What area of care is associated with AMR R. HASSAN (MD)?
AMR R. HASSAN (MD)'s record emphasizes Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMR R. HASSAN (MD)?
Travel planning: use South Jordan, Utah as the reference point for AMR R. HASSAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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