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: July 26, 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
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.

3333 S BANNOCK ST, Englewood, CO 80110

Medicare Participation & PECOS CMS

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

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.

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.

Clinic/Center (Physical Therapy)
3333 S BANNOCK ST, SUITE 770
ENGLEWOOD, CO 80110
Optometrist
3333 S BANNOCK ST, SUITE 625
ENGLEWOOD, CO 80110
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3333 S BANNOCK ST, SUITE 770
ENGLEWOOD, CO 80110
Family Medicine
3333 S BANNOCK ST, SUITE 810
ENGLEWOOD, CO 80110
Point of Service
3333 S BANNOCK ST, SUITE 235
ENGLEWOOD, CO 80110
Physical Therapist
3333 S BANNOCK ST, STE 770
ENGLEWOOD, CO 80110
Social Worker (Clinical)
3333 S BANNOCK ST
ENGLEWOOD, CO 80110
Surgery
3333 S BANNOCK ST, SUITE 605
ENGLEWOOD, CO 80110

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.

When was this NPI record last updated?

The NPPES record for Samir Hasan was last updated on May 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.