Bassel Kisso, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

37200 Issued in AZ

Practice address

1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044

Phone

(520) 795-3090

Fax

(520) 795-3537

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Gastroenterology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swan Gastroenterology PCGroup PAC ID 9133425903, 8 clinicians

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• St. Mary's Hospital Hospital, Tucson, AZ, CCN 030010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

• Swan Gastroenterology, P.C.

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1619368891
  Medicare reassignment Care Compare group NPD
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• Tucson Physician Group Holdings, LLC

  dba Carondelet Medical Group

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalists of Arizona, Inc

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1508194036

  Internal Medicine

  NPD (past)

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

• SMSJ Tucson Holdings LLC

  dba St. Marys Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1093918302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112602",
            "country_code": "US",
            "telephone_number": "520-296-3211",
            "fax_number": "520-873-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSO",
        "first_name": "BASSEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "37200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227902",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "116332",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SWANGASTRO.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "1505 N Swan Rd Ste 121",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857124044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee Kishbaugh, DC
• Hayley Kisiel, CNM
• Kenneth Charles Kisinger, DMD
• Eva Veronika Kiss, MD
• Kristina Marie Kiss
• Jessica Kitsen, DO
• Katrina Francesca Kittell, PHARMACY INTERN
• Jessica Kittinger, MOT, OTR
• Carol C Kittredge, L.P.N.
• Katherine Kaye Kittrell, DPT

• Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.