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CRESCENT WOUND CARE INC
NPI 1942177548
Family Medicine in The Dalles, OR

Active since October 20, 2025
1015 WEBBER ST, THE DALLES, OR 97058(858) 967-3070(858) 431-4736 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crescent Wound Care Inc NPPES

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

CRESCENT WOUND CARE INC (NPI 1942177548) is a healthcare organization registered as a family medicine in The Dalles, Oregon and active in the NPI registry since October 2025. The organization lists Mohamed Kadry-hassanein, Owner, as its authorized official.

NPPES Registry Identity

NPI1942177548
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESCENT WOUND CARE INC
Location Address1015 WEBBER STThe Dalles, OR 97058-3527
Mailing Address5580 La Jolla Blvd Ste 622La Jolla, CA 92037-7651 · (858) 967-3070 · Fax (858) 431-4736
Phone(858) 967-3070
Fax(858) 431-4736
Organization SubpartNo
Authorized OfficialMohamed Kadry-hassaneinOwner · (858) 967-3070
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1942177548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1015 WEBBER ST, The Dalles, OR 97058
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crescent Wound Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Crescent Wound Care Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Jida Hubana, MD
Internal Medicine
NPI 1427637123
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
(360) 514-2000
✔ PECOS✔ Accepts Medicare67 mi
Eleazar Lawson, MD
General Surgery
NPI 1508976473
1510 DIVISION ST STE 210
Oregon City, OR 97045
(503) 723-6525
✔ PECOS✔ Accepts Medicare69 mi
Husameddin El-Bakri, M.D.
Family Practice
NPI 1851660955
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0624
✔ PECOS✔ Accepts Medicare76 mi
Jennifer Mitchell, M.D.
Family Practice
NPI 1508244260
4010 AERIAL WAY
Eugene, OR 97402
(541) 242-6353
✔ PECOS✔ Accepts Medicare142 mi
Aikaterini Boukouvala, MD
Family Practice
NPI 1417287822
31700 TEMECULA PKWY STE 2
Temecula, CA 92592
(951) 600-4337
✔ PECOS✔ Accepts Medicare864 mi

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

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 Crescent Wound Care Inc's NPI number?

The NPI number for Crescent Wound Care Inc is 1942177548. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Crescent Wound Care Inc located?

Crescent Wound Care Inc is located at 1015 Webber St, The Dalles, OR 97058. The listed phone number is (858) 967-3070.

What is Crescent Wound Care Inc's specialty?

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

Is Crescent Wound Care Inc enrolled in Medicare?

Yes. Crescent Wound Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crescent Wound Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Crescent Wound Care Inc. A 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 the clinician's services. The largest specialties are Family Practice (3), General Surgery (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crescent Wound Care Inc accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Crescent Wound Care Inc 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 Crescent Wound Care Inc was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.