Individual provider Active NPI

Bassem Adie, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1174613889
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33306 Issued in KY
Practice address
4525 Lafayette Rd Ste a
Indianapolis, IN 46254-2011
Phone
(317) 821-7346
Fax
(877) 958-9065
NPI assigned
Oct 13, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33306 KY Primary

Addresses

Primary practice location

4525 Lafayette Rd Ste a
Indianapolis, IN 46254-2011

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other practice location 1

305 New Albany Plz
New Albany, IN 47150-4653
Phone (812) 668-8133

Other practice location 2

6401 E Washington St
Indianapolis, IN 46219-6614
Phone (317) 808-7085

Other identifiers 6

IdentifierTypeStateIssuer
10801935OtherKYCAQH PROVIDER ID
110188405OtherKYRAILROAD MEDICARE
64001738OtherKYKMAP
64001738MedicaidKY
000000046044OtherKYBC/BS
3565OtherKYTRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bassem.adie.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140709001541 IN Practitioner - Internal Medicine 7810966348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2902 W 86TH St
Suite 220
Indianapolis, IN 46268-2196
Phone (317) 343-8607

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33306KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care in PC Internal Medicine CurrentSince Apr 29, 2024 Accepting new patients
Centerwell Senior Primary Care in PC Internal Medicine CurrentSince Apr 29, 2024 Accepting new patients
Centerwell Senior Primary Care in PC Internal Medicine Current Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC Past Accepting new patients
Oak Street Physician Services LLC Internal Medicine Past Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2902 W 86th St
Ste 220
Indianapolis, IN 46268
Phone (317) 343-8607

4525 Lafayette Rd
Ste A
Indianapolis, IN 46254
Phone (317) 821-7346

5115 W Washington St
Indianapolis, IN 46241
Phone (317) 799-1268

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

Interoperability endpoints

  • Direct secure messaging: bassem.adie@centerwell.eclinicaldirectplus.com

Organizations & group practices 8

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 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1174613889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 LAFAYETTE RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542011",
            "telephone_number": "317-821-7346",
            "fax_number": "877-958-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 New Albany Plz",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504653",
            "country_code": "US",
            "telephone_number": "812-668-8133",
            "fax_number": "877-772-5818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462196614",
            "country_code": "US",
            "telephone_number": "317-808-7085",
            "fax_number": "317-708-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIE",
        "first_name": "BASSEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "10801935",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110188405",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMAP",
            "identifier": "64001738",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64001738",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000046044",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "3565",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bassem.adie.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "305 New Albany Plz",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.