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DR. ALI A M HASSOUN MD
NPI 1063404978
Internal Medicine - Infectious Disease in Huntsville, AL

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
420 LOWELL DR SE, SUITE 301, HUNTSVILLE, AL 35801(256) 265-7955(256) 265-7954 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ali A M Hassoun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALI A M HASSOUN MD (NPI 1063404978) is an individual infectious disease provider in Huntsville, Alabama, licensed in Alabama (25943) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1063404978
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ALI A M HASSOUNCredential: MD
Location Address420 LOWELL DR SE, SUITE 301Huntsville, AL 35801-3754
Mailing Address420 Lowell Dr Se, Suite 301Huntsville, AL 35801-3754 · (256) 265-7955 · Fax (256) 265-7954
Phone(256) 265-7955
Fax(256) 265-7954
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 17, 2005
Last NPPES UpdateOctober 10, 2012
✔ NPI 1063404978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AL · 25943
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
420 LOWELL DR SE, Huntsville, AL 35801
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Other Identifiers 2

Medicaid009970955AL
Medicare UPINI22022AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali A M Hassoun Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193781623
PECOS Enrollment IDI20041207000580
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,027 services352 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
591 services249 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
338 services299 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
31%131 patients2/55-star benchmark: 95%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
17%209 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,760 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%481 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
39%167 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%140 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%828 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%347 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%816 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
28%318 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 445 patients
Patients tobacco: 92% · 445 patients
49%67 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%828 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%828 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims1,200 services$9.53 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A HORTON SMITH MD, PC
Obstetrics & Gynecology (Hospice and Palliative Medicine)
420 LOWELL DR SE, SUITE 400
HUNTSVILLE, AL 35801
Madison County (256) 265-2555
RAMI HAWARI M.D.
Internal Medicine (Gastroenterology)
420 LOWELL DR SE, SUITE 204
HUNTSVILLE, AL 35801
Madison County (256) 536-9031
DR. JAMES KING BYRD III M.D.
Internal Medicine
420 LOWELL DR SE, SUITE 300
HUNTSVILLE, AL 35801
Madison County (256) 535-5972
RAMANN NALLAMALA MD PC
Internal Medicine
420 LOWELL DR SE, SUITE 103
HUNTSVILLLE, AL 35801
Madison County (256) 535-5940
REKHA VANKINENI M.D.
Internal Medicine
420 LOWELL DR SE, SUITE 200
HUNTSVILLE, AL 35801
Madison County (256) 704-3571
JON RICE MOODY MD
Internal Medicine
420 LOWELL DR SE, SUITE 106
HUNTSVILLE, AL 35801
Madison County (256) 535-5964
HEEJUNG VICTORIA KANG MD
Internal Medicine
420 LOWELL DR SE
HUNTSVILLE, AL 35801
Madison County (265) 535-5972
MRS. KAY SHAW THRASH CRNP
Nurse Practitioner (Obstetrics & Gynecology)
420 LOWELL DR SE, SUITE 201
HUNTSVILLE, AL 35801
Madison County (256) 535-5944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Hassoun's NPI number?

The NPI number for Ali Hassoun is 1063404978. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Ali Hassoun located?

Ali Hassoun practices at 420 Lowell Dr SE Suite 301, Huntsville, AL 35801. The listed phone number is (256) 265-7955.

What is Ali Hassoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Ali Hassoun enrolled in Medicare?

Yes. Ali Hassoun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ali Hassoun accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Ali Hassoun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Hassoun was last updated on October 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.