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HASSAN SOUIDAN MD
NPI 1396361432
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment
4201 ST ANTOINE STREET, UNIVERSITY HEALTH CENTER - UHC 8C, DETROIT, MI 48201(313) 745-1302 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, May 24, 2022, Jun 24, 2020 (3 updates tracked since 2020).

About Hassan Souidan Md NPPES

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

HASSAN SOUIDAN MD (NPI 1396361432) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains a secondary practice location in Elizabethtown.

NPPES Registry Identity

NPI1396361432
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHASSAN SOUIDANCredential: MD
Location Address4201 ST ANTOINE STREET, UNIVERSITY HEALTH CENTER - UHC 8CDetroit, MI 48201
Mailing Address4201 St Antoine Street, University Health Center - Uhc 8cDetroit, MI 48201 · (313) 745-1302
Phone(313) 745-1302
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2020
Last NPPES UpdateMay 24, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1396361432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST ANTOINE STREET, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1913 N Dixie AveElizabethtown, KY 42701-2503 · Phone (270) 706-5276 · Fax (270) 702-1141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Hassan Souidan 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 ID1658898598
PECOS Enrollment IDI20250505002667
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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Other Providers at the Same Location NPPES

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

SHASHWAT POKHAREL M.D.
Student in an Organized Health Care Education/Training Program
4201 ST ANTOINE STREET, UNIVERSITY HEALTH CENTER - 8C
DETROIT, MI 48201
Wayne County (313) 745-1302

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 Hassan Souidan's NPI number?

The NPI number for Hassan Souidan is 1396361432. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Hassan Souidan located?

Hassan Souidan practices at 4201 St Antoine Street University Health Center - Uhc 8C, Detroit, MI 48201. The listed phone number is (313) 745-1302.

What is Hassan Souidan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hassan Souidan enrolled in Medicare?

Yes. Hassan Souidan 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 Hassan Souidan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Hassan Souidan 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 Hassan Souidan affiliated with any hospitals?

According to CMS data, Hassan Souidan is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Hassan Souidan was last updated on May 24, 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.