Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaazim Mukhtaar Hasan

Individual provider Emergency Medicine Physician · NPI 1265051551

Kaazim Mukhtaar Hasan is an Emergency Medicine in Chesterfield, Michigan. Graduated from Virginia Commonwealth University, School of Medicine in 2020, 6 years ago. Practices with Cepamerica Illinois LLP, a 493-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois, Indiana and Maryland and 2 more.

Years since qualifying
6
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
FL, IL, IN, MD, MI, WI
In the registry since
2020
Specialties on file
6

Practice location Address checks out

36750 26 Mile Rd
Chesterfield, MI 48047-2920
Phone: (586) 879-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036165270 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME164029 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01090719A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301509205 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 83228-20 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence D0100841 (MD)

Record details

NPI number1265051551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cepamerica Illinois Llp — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chesterfield