Active NPI
Bassam A Assaf, MD
- Neurology Physician
- Moline, IL
National Provider Identifier
1225009426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036085765
- Practice address
- 4370 7TH St
Moline, IL 61265-6867 - Phone
- (309) 517-6891
- Fax
- (309) 517-6895
- NPI assigned
- Jan 27, 2006
- Last updated
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036085765 | IL | Primary |
Addresses
Primary practice location
4370 7TH St
Moline, IL 61265-6867
Mailing address
4370 7TH St
Moline, IL 61265-6867
Phone (309) 517-6891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085765 | Medicaid | IL | |
| 08132080 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4370 7TH St
Moline, IL 61265-6867
Phone (309) 623-5406
Hospital & facility affiliations
- Trinity Rock Island
- Trinity - Bettendorf
- Hammond Henry Hospital
- Trinity Muscatine
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Drexel University | Neurology | Past | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients |
Interoperability endpoints
- bassaf92072@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Neurology Physician
- Moline, IL
- NPI 1386889277
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Saint Francis Home Health
- Home Health Agency
- Peoria, IL
- NPI 1346281425
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1225009426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656867",
"telephone_number": "309-517-6891",
"fax_number": "309-517-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656867",
"telephone_number": "309-517-6891",
"fax_number": "309-517-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSAF",
"first_name": "BASSAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036085765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085765",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08132080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.