Individual provider Active NPI

Massoud Kazzi, MD

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1073846283
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
269170 Issued in NY
Practice address
2120 L St NW
Suite 450
Washington, DC 20037-1527
Phone
(202) 741-3373
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 269170 NY Primary
Emergency Medicine Physician 207P00000X MD044128 DC

Addresses

Primary practice location

2120 L St NW
Suite 450
Washington, DC 20037-1527

Mailing address

2120 L St NW
Suite 450
Washington, DC 20037-1527

Other identifiers 1

IdentifierTypeStateIssuer
03919353MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160822001969 DC Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537380050 Reassigns benefits to 5 organizations
I20190920001902 MD Practitioner - Emergency Medicine 9537380050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044128DCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 1, 2019 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Apr 20, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Aug 17, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 15, 2020 Accepting new patients
Usacs Critical Care Medicine Services East, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

9210 Corporate Blvd
Ste 210
Rockville, MD 20850
Phone (301) 921-7900

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 6

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 1

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1073846283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 L ST NW",
            "address_2": "SUITE 450",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 L ST NW",
            "address_2": "SUITE 450",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371527",
            "telephone_number": "202-741-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZZI",
        "first_name": "MASSOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "269170",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD044128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03919353",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.