Active NPI
Bassem Matta, M.D.
- Gastroenterology Physician
- Wichita, KS
National Provider Identifier
1114366515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 04-43110
- Practice address
- 3121 N Webb Rd Ste 101
Wichita, KS 67226-8119 - Phone
- (316) 261-3130
- NPI assigned
- Jun 18, 2013
- Last updated
- May 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Gastroenterology Physician | 207RG0100X | 04-43110 | KS | Primary |
Addresses
Primary practice location
3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Mailing address
3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone (316) 261-3130
Other practice location 1
2310 Erwin Rd
Durham, NC 27710-0001
Phone (919) 684-8111
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BassemMatta@ksgastro.direct.emds.com | Direct | |
| Direct Messaging Address | ksgastro@directaddress.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3121 N Webb Rd
Suite 101
Wichita, KS 67226-8119
Phone (316) 928-8930
Hospital & facility affiliations
- Kansas Medical Center LLC
- Ascension Via Christi Hospitals Wichita, Inc.
- Wesley Medical Center
- Newman Regional Health
- NMC Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 234 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 957 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Kansas Endoscopy LLC | Past | Accepting new patients |
Locations
3121 N Webb Rd
Ste 101
Wichita, KS 67226
Phone (316) 261-3130
3121 N Webb Rd
Ste 107
Wichita, KS 67226
Phone (316) 219-2828
Interoperability endpoints
- bassemmatta@ksgastro.direct.emds.com
- https://e38455df-8137-43ad-9077-b36c0bc0745d.gastro.prod.fhir.ema-api.com/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Wichita, KS
- NPI 1477547727
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1538153887
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
- General Acute Care Hospital
- Andover, KS
- NPI 1255380127
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
dba Newman Express Care
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
Hospital
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1114366515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 N WEBB RD STE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268119",
"telephone_number": "316-261-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 N WEBB RD STE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268119",
"telephone_number": "316-261-3130"
}
],
"practiceLocations": [
{
"address_1": "2310 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277100001",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTA",
"first_name": "BASSEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2021-05-13",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KS",
"license": "04-43110",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BassemMatta@ksgastro.direct.emds.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3121 N Webb Rd Ste 101",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672268119",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksgastro@directaddress.net",
"affiliation": "N",
"endpointDescription": "direct messaging address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3121 N Webb Rd Ste 101",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672268119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.