Organization Active NPI

Bassam J Zakhour MD PA

  • Surgery Physician
  • Mesquite, TX
National Provider Identifier
1093135097
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BASSAM J ZAKHOUR MD PA
Practice address
929 N Galloway Ave Ste 210
Mesquite, TX 75149-2491
Phone
(972) 613-5860
Fax
(972) 613-5893
NPI assigned
Apr 17, 2014
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Dr. Bassam J Zakhour, MDNPI 1346207461
Title
Doctor
Phone
(972) 613-5860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

929 N Galloway Ave Ste 210
Mesquite, TX 75149-2491

Mailing address

929 N Galloway Ave Ste 210
Mesquite, TX 75149-2491
Phone (972) 613-5860

Other names 1

  • Bassam J Zakhour MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924001818 TX Part B Supplier - Clinic/Group Practice 7214156298 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

929 N Galloway Ave
Ste 210
Mesquite, TX 75149
Phone (972) 216-8400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1093135097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492491",
            "telephone_number": "972-613-5860",
            "fax_number": "972-613-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492491",
            "telephone_number": "972-613-5860",
            "fax_number": "972-613-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM J ZAKHOUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "ZAKHOUR",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-613-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassam J Zakhour MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.