NPIMap

Individual provider Active NPI

Taufik Kassis, MD

  • Internal Medicine Physician
  • Frenchburg, KY
National Provider Identifier
1174545628
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36974 Issued in KY
Practice address
784 Highway 36
Frenchburg, KY 40322-8123
Phone
(606) 768-9190
Fax
(606) 768-9180
NPI assigned
Jul 24, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36974 KY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 36974 KY

Addresses

Primary practice location

784 Highway 36
Frenchburg, KY 40322-8123

Mailing address

784 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190

Other practice location 1

436 South Main St
Stanton, KY 40380-2189
Phone (606) 663-7597

Other identifiers 1

IdentifierTypeStateIssuer
64055361MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907001014 KY Practitioner - Internal MedicinePractitioner - Addiction Medicine 2264408608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Family Care LLCGroup PAC ID 5890101471, 12 clinicians
Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians

Practice addresses (Care Compare)

125 Foxglove Dr
Suite B
Mount Sterling, KY 40353-9735
Phone (859) 520-9292

125 Foxglove Dr D
Mount Sterling, KY 40353-9735
Phone (859) 498-3333

638 E College Ave
Suite B
Stanton, KY 40380-2363
Phone (606) 318-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Addiction Recovery LLC Addiction Medicine CurrentSince Aug 1, 2023 Accepting new patients
Community Family Clinic PLLC Internal Medicine CurrentSince May 1, 2006 Accepting new patients
Community Family Clinic PLLC CurrentSince May 1, 2006 Accepting new patients
Montgomery Family Care LLC Internal Medicine CurrentSince Dec 7, 2020 Accepting new patients
Casa San Pio Clinics of Appalachia, LLC CurrentSince Oct 1, 2016 Accepting new patients
Community Famliy Clinic, PLLC Internal Medicine Past Accepting new patients
Means Adult Primary Care Clinic of Kentucky PLLC Internal Medicine Past Accepting new patients
Menifee County Nursing Home Corporation Past Accepting new patients
Sterling Toxicology LLC PastSince Dec 4, 2019 Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Internal Medicine Past Accepting new patients
Community Family Clinic-School LLC Internal Medicine PastSince May 23, 2023 Accepting new patients

Locations

784 Highway 36
Frenchburg, KY 40322
Phone (606) 768-9190

125 Foxglove Dr
Ste B
Mt Sterling, KY 40353
Phone (859) 432-5641

125 Foxglove Dr
Ste D
Mt Sterling, KY 40353
Phone (859) 498-3333

17 Miller Dr
Owingsville, KY 40360
Phone (606) 674-3033

638 E College Ave
#B
Stanton, KY 40380
Phone (606) 318-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIDJBD/Endpoint/AIDJBD
  • Direct secure messaging: taufik.kassis@commfam.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Family Clinic PLLCFrenchburg, KY, CCN 183949 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director
W-2 Managing Employee		 May 1, 2006
May 1, 2006
May 1, 2006
Casa San PioStanton, KY, CCN 188912 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%)
Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Oct 31, 2016
Oct 31, 2016
Oct 31, 2016
Oct 31, 2016
Community Family Clinic PLLCOwingsville, KY, CCN 188928 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee		 Aug 1, 2013
Aug 1, 2013
Aug 1, 2013
Community Family Clinic PLLCMt Sterling, KY, CCN B03808 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)		 Jul 1, 2019
Jul 1, 2019
Montgomery Family Care LLCMt Sterling, KY, CCN B03839 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)		 Dec 7, 2020
Dec 7, 2020
Community Family Clinic-School LLCFrenchburg, KY, CCN B03943 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 May 23, 2023
May 25, 2023
May 25, 2023

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1174545628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 South Main St",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "KY",
            "postal_code": "403802189",
            "country_code": "US",
            "telephone_number": "606-663-7597",
            "fax_number": "606-663-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "TAUFIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36974",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "36974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64055361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchburg, KY

Sources for this page

Verify at the official NPI Registry.