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KHALED HASSAN MD
NPI 1144807694
Family Medicine in Pine Bluff, AR

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603(870) 541-6010(870) 541-6009 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Khaled Hassan Md NPPES

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

KHALED HASSAN MD (NPI 1144807694) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E15898) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2019).

NPPES Registry Identity

NPI1144807694
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKHALED HASSANCredential: MD
Location Address1601 W 40TH AVE STE 100Pine Bluff, AR 71603-6069
Mailing Address1601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · (870) 541-6010 · Fax (870) 541-6009
Phone(870) 541-6010
Fax(870) 541-6009
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2019
Enumeration DateMarch 29, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1144807694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E15898
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License E15868 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1601 W 40TH AVE STE 100, Pine Bluff, AR 71603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khaled Hassan 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 ID6709262116
PECOS Enrollment IDI20221007000264
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

13

Medicare enrollment records show Khaled Hassan reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Governors Of Dallas County Medical Center
35 mi
Emergency Medical Services
201 NORTH CLIFTON STREET
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1306826029 (Arkansas)
  • 18 clinicians in this Medicare group
NPI 1043308935 (870) 352-6363
Ess Of Fordyce LLC
35 mi
Emergency Medicine
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 125 clinicians in this Medicare group
NPI 1821547977 (870) 352-6300
Hospital Care Consultants Of Fordyce LLC
35 mi
Hospitalist
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 121 clinicians in this Medicare group
NPI 1316497464 (870) 352-6300
Bradley County Medical Center
40 mi
Critical Access
404 S BRADLEY ST
Warren, AR 71671
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1972620649 (Arkansas), NPI 1861519548 (Arkansas)
  • 27 clinicians in this Medicare group
NPI 1194741611 (870) 226-3731
Monticello Ess LLC
42 mi
Emergency Medicine
778 SCOGIN DR
Monticello, AR 71655
  • Reassigned Medicare billing, Arkansas enrollment
  • 126 clinicians in this Medicare group
NPI 1184010753 (870) 367-2411
Ess Of Mcgehee LLC
52 mi
Emergency Medicine
900 S 3RD ST
Mc Gehee, AR 71654
  • Reassigned Medicare billing, Arkansas enrollment
  • 81 clinicians in this Medicare group
NPI 1639822653 (870) 222-5600
Ouachita County Medical Center
63 mi
Emergency Care
638 CALIFORNIA AVE SW
Camden, AR 71701
  • Reassigned Medicare billing, Arkansas enrollment
  • 100 clinicians in this Medicare group
NPI 1346354826 (870) 836-1387
Ess Hospitalist LLC
73 mi
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • 152 clinicians in this Medicare group
NPI 1881967305 (866) 931-8882
Ess Of El Dorado, LLC
77 mi
Emergency Medicine
700 W GROVE ST
El Dorado, AR 71730
  • Reassigned Medicare billing, Arkansas enrollment
  • 103 clinicians in this Medicare group
NPI 1861851131 (870) 863-2000
Hcc Of El Dorado LLC
77 mi
Hospitalist
700 W GROVE ST
El Dorado, AR 71730
  • Reassigned Medicare billing, Arkansas enrollment
  • 88 clinicians in this Medicare group
NPI 1003578725 (870) 863-2000

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

Areas of Expertise CMS Part B claims 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
175 services161 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
164 services155 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
92 services90 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
86 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
79 services76 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.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 19

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

ROBERTA NARTEY MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
SARVANI DEVI SARANYA PENTAKOTA
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
AHMED YAHYA AMIN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. SREE CHELLAPPAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
MUSTAFA AL-MUSAWI
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
MARIAN O OBI MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
CANDACE WILSON
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
KAMALELDEIN EINAR
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000

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 Khaled Hassan's NPI number?

The NPI number for Khaled Hassan is 1144807694. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Khaled Hassan located?

Khaled Hassan practices at 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603. The listed phone number is (870) 541-6010.

What is Khaled Hassan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khaled Hassan enrolled in Medicare?

Yes. Khaled Hassan 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.

Which organizations bill Medicare for Khaled Hassan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khaled Hassan reassigns Medicare benefits to 13 organizations: Board Of Governors Of Dallas County Medical Center (Fordyce, AR), Ess Of Fordyce LLC (Fordyce, AR), Hospital Care Consultants Of Fordyce LLC (Fordyce, AR), Bradley County Medical Center (Warren, AR), Monticello Ess LLC (Monticello, AR) and 8 more organizations, listed in the Medicare section above. 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 Khaled Hassan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khaled Hassan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Khaled Hassan 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 Khaled Hassan was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.