Individual provider Active NPI

Alaa Addasi, MD

  • Vascular Surgery Physician
  • Pikeville, KY
National Provider Identifier
1154531416
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
41613 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-2201
Fax
(606) 218-4651
NPI assigned
May 23, 2007
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 41613 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aaddasi21950@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080918000426 KY Practitioner - Vascular SurgeryPractitioner - Cardiac SurgeryPractitioner - Other (Physician) 4183791007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Cardiac Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

107 Medical Plaza LN
Whitesburg, KY 41858-7428
Phone (606) 633-7355

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

285 Southside Mall Rd
South Williamson, KY 41503-3905
Phone (606) 237-3969

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Aug 31, 2015 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 31, 2015 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients
Tri-State Vascular Group, PSC Past Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

911 Bypass Rd
Fl 2
Pikeville, KY 41501
Phone (606) 218-1000

107 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 430-2223

Interoperability endpoints

  • Direct secure messaging: aaddasi21950@pikevillekydirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1154531416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2201",
            "fax_number": "606-218-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-2201",
            "fax_number": "606-218-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDASI",
        "first_name": "ALAA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "41613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aaddasi21950@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct finctionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.