DR. HADI SAMIR HAMDAN HISSAOUI
NPI 1568303261
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Hadi Hamdan Hissaoui's NPI number?

The NPI number for Hadi Hamdan Hissaoui is 1568303261. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Q: What is Hadi Hamdan Hissaoui's specialty?

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

Active since April 06, 2026PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Hadi Samir Hamdan Hissaoui NPPES

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

DR. HADI SAMIR HAMDAN HISSAOUI (NPI 1568303261) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568303261

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. HADI SAMIR HAMDAN HISSAOUI

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address1350 W Bethune St Apt 803Detroit, MI 48202-2662

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 6, 2026

NPPES CertifiedApril 5, 2026

✔ NPI 1568303261 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.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hadi Samir Hamdan Hissaoui 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital