Individual provider Active NPI

Bassam I Mattar, MD

  • Hematology & Oncology Physician
  • Wichita, KS
National Provider Identifier
1053372649
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0427872 Issued in KS
Practice address
818 N Emporia St
Suite 403
Wichita, KS 67214-3729
Phone
(316) 262-4467
Fax
(316) 262-0706
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0427872 KS Primary

Addresses

Primary practice location

818 N Emporia St
Suite 403
Wichita, KS 67214-3729

Mailing address

818 N Emporia St Ste 403
Wichita, KS 67214-3728
Phone (316) 262-4467

Other practice location 1

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 282-0888

Other practice location 2

750 W D Ave
Kingman, KS 67068-1266
Phone (620) 532-0162

Other identifiers 14

IdentifierTypeStateIssuer
1286700003OtherKSDMERC REGION 1
1286700007OtherKSDMERC REGION 1
1286700009OtherKSDMERC REGION 1
1286700013OtherKSDMERC REGION 1
1286700005OtherKSDMERC REGION 1
1286700008OtherKSDMERC REGION 1
100337210AMedicaidKS
1286700006OtherKSDMERC REGION 1
1286700011OtherKSDMERC REGION 1
1286700015OtherKSDMERC REGION 1
1286700002OtherKSDMERC REGION 1
1286700012OtherKSDMERC REGION 1
1286700004OtherKSDMERC REGION 1
12867010010OtherKSDMERC REGION 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630001023 KS Practitioner - Hematology/OncologyPractitioner - Medical Oncology 8224074166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Center of Kansas PAGroup PAC ID 5395732820, 30 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Suite 300
Wichita, KS 67208-3006
Phone (316) 262-4467

720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 282-0888

818 N Emporia St
Suite 403
Wichita, KS 67214-3728
Phone (316) 262-4467

9050 E 29TH St N
Suite 100
Wichita, KS 67226-2187
Phone (316) 219-9651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
87.31 of 100Reported as group
Quality
76.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0427872KSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Kansas, P.a. Hematology & Oncology CurrentSince Jul 1, 1999 Accepting new patients
Cancer Center of Kansas, P.a. CurrentSince Jul 1, 1999 Accepting new patients

Locations

750 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

9050 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 219-9651

818 N Emporia St
Ste 403
Wichita, KS 67214
Phone (316) 613-4296

Interoperability endpoints

  • Direct secure messaging: bassam.mattar@cck.ikm.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1053372649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 403",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143728",
            "telephone_number": "316-262-4467",
            "fax_number": "316-262-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 403",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-262-4467",
            "fax_number": "316-262-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671148778",
            "country_code": "US",
            "telephone_number": "316-282-0888",
            "fax_number": "316-282-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 W D Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "KS",
            "postal_code": "670681266",
            "country_code": "US",
            "telephone_number": "620-532-0162",
            "fax_number": "620-532-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTAR",
        "first_name": "BASSAM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0427872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700003",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700007",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700009",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700013",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700005",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700008",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100337210A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700006",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700015",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700012",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700004",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "12867010010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.