Individual provider Active NPI

Kinan Attassi, MD

  • Infectious Disease Physician
  • Highland, IN
National Provider Identifier
1255428157
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01062044 Issued in IN
Practice address
9696 Gordon Dr
Highland, IN 46322-2909
Phone
(219) 937-2511
Fax
(219) 937-2522
NPI assigned
Oct 10, 2006
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 01062044 IN Primary

Addresses

Primary practice location

9696 Gordon Dr
Highland, IN 46322-2909

Mailing address

9696 Gordon Dr
Highland, IN 46322-2909
Phone (219) 937-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kattassi@direct.practicefusion.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
I20070213000092 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 1850393307 Reassigns benefits to 1 organization
Practice locations: Highland, IN; Munster, IN

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

740 Seberger Dr
Northwest Indiana Id Associates PC
Munster, IN 46321-1628
Phone (219) 237-6474

9696 Gordon Dr
Highland, IN 46322-2909
Phone (219) 937-2511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062044INMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Center LTD Current Accepting new patients
Northwest Indiana Id Associates PC Infectious Disease CurrentSince Jun 2, 2015 Accepting new patients

Locations

9696 Gordon Dr
Highland, IN 46322
Phone (219) 937-2511

740 Seberger Dr
Munster, IN 46321
Phone (219) 237-6474

Interoperability endpoints

  • Direct secure messaging: kattassi@direct.practicefusion.com

Organizations & group practices 2

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 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1255428157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 GORDON DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222909",
            "telephone_number": "219-937-2511",
            "fax_number": "219-937-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 GORDON DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222909",
            "telephone_number": "219-937-2511",
            "fax_number": "219-937-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTASSI",
        "first_name": "KINAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01062044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kattassi@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "9696 Gordon Dr",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463222909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.