Individual provider Active NPI

Ahmad M Atassi, M. D

  • Neuroradiology Physician
  • Madison, WI
National Provider Identifier
1154512242
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
51860-20 Issued in WI
Practice address
600 Highland Ave
E3/311
Madison, WI 53792-3252
Phone
(305) 585-7500
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 51860-20 WI Primary
Diagnostic Radiology Physician 2085R0202X 51860-20 WI
Vascular & Interventional Radiology Physician 2085R0204X 51860-20 WI
Body Imaging Physician 2085B0100X 51860-20 WI
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 51860-20 WI

Addresses

Primary practice location

600 Highland Ave
E3/311
Madison, WI 53792-3252

Mailing address

600 Highland Ave
E3/311
Madison, WI 53792-3252
Phone (305) 585-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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
I20180718003041 CA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 0648312231
I20240422000804 NY Practitioner - Diagnostic Radiology 0648312231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5008 Brittonfield Pkwy
Suite 100
East Syracuse, NY 13057-9250

PO Box
Suite 2000
East Syracuse, NY 13057

Hospital & facility affiliations

  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.23 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327546NYMDLicensed Practical Nurse
51860-20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Mar 13, 2024 Accepting new patients
Associated Medical Professionals of Ny, PLLC Vascular & Interventional Radiology CurrentSince Feb 1, 2025 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Mar 13, 2024 Accepting new patients
Medical Imaging Center LLP CurrentSince Mar 13, 2024 Accepting new patients
University Radiology Associates, LLP Neuroradiology PastSince Mar 13, 2024 Accepting new patients

Locations

37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828

5700 W Genesee St
Ste 7
Camillus, NY 13031
Phone (315) 701-1670

5008 Brittonfield Pkwy
Ste 100
East Syracuse, NY 13057
Phone (315) 234-7609

5000 Brittonfield Pkwy
Ste A114
East Syracuse, NY 13057
Phone (315) 472-4701

5000 Brittonfield Pkwy
Ste A112
East Syracuse, NY 13057
Phone (315) 234-4680

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

725 Irving Ave
Ste 209
Syracuse, NY 13210
Phone (315) 472-4364

739 Irving Ave
Ste 150
Syracuse, NY 13210
Phone (315) 470-2985

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1154512242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "E3/311",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923252",
            "telephone_number": "305-585-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "E3/311",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923252",
            "telephone_number": "305-585-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "AHMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "51860-20",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "51860-20",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "51860-20",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WI",
            "license": "51860-20",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "WI",
            "license": "51860-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.