HABIBA HASSOUNA MD
NPI 1225478860
Internal Medicine in Grand Rapids, MI

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503(616) 774-2822 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2021, Aug 6, 2018 (2 updates tracked since 2018).

About Habiba Hassouna Md NPPES

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

HABIBA HASSOUNA MD (NPI 1225478860) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Kansas (9408068) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225478860
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHABIBA HASSOUNACredential: MD
Location Address230 MICHIGAN ST NE STE 230Grand Rapids, MI 49503
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2013
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1225478860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 9408068
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
230 MICHIGAN ST NE STE 230, Grand Rapids, MI 49503

Accepted 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

Habiba Hassouna 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 ID6406090125
PECOS Enrollment IDI20180724003808
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 Reassignment

Medicare enrollment records show Habiba Hassouna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group

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 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services40 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.
32 services32 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Internal Medicine
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Physician Assistant
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Internal Medicine
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503

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 Habiba Hassouna's NPI number?

The NPI number for Habiba Hassouna is 1225478860. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Habiba Hassouna located?

Habiba Hassouna practices at 230 Michigan St NE Ste 230, Grand Rapids, MI 49503. The listed phone number is (616) 774-2822.

What is Habiba Hassouna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Habiba Hassouna enrolled in Medicare?

Yes. Habiba Hassouna 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 organization bills Medicare for Habiba Hassouna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Habiba Hassouna reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Habiba Hassouna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Habiba Hassouna accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Habiba Hassouna 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.

Is Habiba Hassouna affiliated with any hospitals?

According to CMS data, Habiba Hassouna is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Habiba Hassouna was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.