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SAMIR HASAN
NPI 1063825768
Surgery - Plastic and Reconstructive Surgery in Englewood, CO

Active since June 10, 2014PECOS Enrolled
3333 S BANNOCK ST, ENGLEWOOD, CO 80110(720) 677-5649 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2023, May 7, 2021 (2 updates tracked since 2021).

About Samir Hasan NPPES

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

SAMIR HASAN (NPI 1063825768) is an individual plastic and reconstructive surgery provider in Englewood, Colorado, licensed in Colorado (65914) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063825768
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameSAMIR HASAN
Location Address3333 S BANNOCK STEnglewood, CO 80110-2432
Mailing Address3333 S Bannock St Ste 150Englewood, CO 80110-2514 · (720) 677-5649
Phone(720) 677-5649
Sole ProprietorNo
Enumeration DateJune 10, 2014
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1063825768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in CO · 65914✔ Licensed in NY · 301986
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3333 S BANNOCK ST, Englewood, CO 80110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samir Hasan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samir Hasan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspen Valley Hospital District
104 mi
Critical Access
401 CASTLE CREEK RD
Aspen, CO 81611
  • Reassigned Medicare billing, Colorado enrollment
  • 106 clinicians in this Medicare group
NPI 1518960814 (970) 544-7684
University Physicians Of Brooklyn, Inc.
1,636 mi
Surgery
450 CLARKSON AVE, BOX 80
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1538116082 (718) 613-8481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

HAND THERAPY OF COLORADO, LLC
Clinic/Center (Physical Therapy)
3333 S BANNOCK ST, SUITE 770
ENGLEWOOD, CO 80110
Arapahoe County (303) 808-7686
DR. LEON FRANCIS MILLER O.D,P.C.
Optometrist
3333 S BANNOCK ST, SUITE 625
ENGLEWOOD, CO 80110
Arapahoe County (303) 789-2221
HAND THERAPY OF COLORADO, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3333 S BANNOCK ST, SUITE 770
ENGLEWOOD, CO 80110
Arapahoe County (303) 808-7686
HUGH HOLLEMAN MACAULAY III
Family Medicine
3333 S BANNOCK ST, SUITE 810
ENGLEWOOD, CO 80110
Arapahoe County (720) 282-9777
FAMILY TREE WELLNESS INSTITUTE, LLC.
Point of Service
3333 S BANNOCK ST, SUITE 235
ENGLEWOOD, CO 80110
Arapahoe County (850) 443-4203
KATHLEEN E VOSS P.T.
Physical Therapist
3333 S BANNOCK ST, STE 770
ENGLEWOOD, CO 80110
Arapahoe County (303) 808-7686
MS. ESTEE SCHWARTZ LCSW
Social Worker (Clinical)
3333 S BANNOCK ST
ENGLEWOOD, CO 80110
Arapahoe County (314) 315-7300
DONALD J CONNER MD
Surgery
3333 S BANNOCK ST, SUITE 605
ENGLEWOOD, CO 80110
Arapahoe County (303) 781-0232

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 Samir Hasan's NPI number?

The NPI number for Samir Hasan is 1063825768. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Samir Hasan located?

Samir Hasan practices at 3333 S Bannock St, Englewood, CO 80110. The listed phone number is (720) 677-5649.

What is Samir Hasan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Samir Hasan enrolled in Medicare?

Yes. Samir Hasan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samir Hasan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Hasan reassigns Medicare benefits to 2 organizations: Aspen Valley Hospital District (Aspen, CO) and University Physicians Of Brooklyn, Inc. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samir Hasan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samir Hasan was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.