Alaa Addasi, MD
Individual provider Active NPI Vascular Surgery Physician · Pikeville, KY
NPI 1154531416 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1154531416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 41613 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pikeville Medical Center Inc
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
- Pikeville Medical Center
- Tug Valley Arh Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080918000426 | KY | Practitioner - Vascular Surgery |
4183791007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc | Current |
Accepting new patients | |
| Pikeville Medical Center Inc. | Current |
Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients | |
| Tri-State Vascular Group, PSC | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Fl 2
Pikeville, KY 41501
Phone (606) 218-1000
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
107 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 430-2223
Interoperability endpoints
- aaddasi21950@pikevillekydirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 41613 | KY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2837096 | Medicaid | OH | |
| 3810013043 | Medicaid | WV | |
| 7100047870 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aaddasi21950@PIKEVILLEKYDIRECT.ORG | Direct |
Other providers in Pikeville, KY
- Austin Cruz Adams
- Destiny Adams
- Kaitlyn Danielle Adams
- Tamara Jade Adams
- Thomas Adams
- Melody Addasi
- Addiction and Substance Abuse Professionals Clinic
- Addiction Recovery Care LLC
- Nathan Joe Addington
- Moses A Adebayo
All providers in Pikeville, KY · Vascular Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.