Individual provider Active NPI

Elia Kassab, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1154350395
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
8303 4TH Ave
Brooklyn, NY 11209-4412
Phone
(718) 238-6222
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

8303 4TH Ave
Brooklyn, NY 11209-4412

Mailing address

8823 Narrows Ave
Brooklyn, NY 11209-5440
Phone (718) 238-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040916001377 NY Practitioner - Endocrinology 1850366154 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8303 4 TH Ave
Brooklyn, NY 11209-4412
Phone (718) 238-6222

8823 Narrows Ave
Brooklyn, NY 11209-5440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.57

National Provider Directory

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

Hospital & facility affiliations 7

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1154350395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 NARROWS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095440",
            "telephone_number": "718-238-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094412",
            "telephone_number": "718-238-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "ELIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.