Kinan Attassi, MD
Individual provider Active NPI Infectious Disease Physician · Highland, IN
NPI 1255428157 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1255428157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 01062044 (IN)
- Practice address
- 9696 Gordon Dr
Highland, IN 46322-2909 - Phone
- (219) 937-2511
- Fax
- (219) 937-2522
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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
- Community Hospital
- St Catherine Hospital Inc
- The University of Chicago Medical Center
- St Mary Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20070213000092 | IN | Practitioner - Infectious Disease |
1850393307 |
Reassigns benefits to 1 organization Practice locations: Highland, IN; Munster, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062044 | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Indiana Id Associates PC | Infectious Disease | Current |
Accepting new patients |
| Columbia Medical Center LTD | Current | Accepting new patients |
Locations
9696 Gordon Dr
Highland, IN 46322
Phone (219) 937-2511
740 Seberger Dr
Munster, IN 46321
Phone (219) 237-6474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 01062044 | IN | Yes |
Addresses
Primary practice location
9696 Gordon Dr
Highland, IN 46322-2909
Mailing address
9696 Gordon Dr
Highland, IN 46322-2909
Phone (219) 937-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200843720 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kattassi@direct.practicefusion.com |
Other providers in Highland, IN
- Artistic Family Dental - Highland Corporation
- Aspire Concierge Care, LLC
- At Home Health Care, Inc.
- At Home Helpers Inc
- Wassim Atassi
- Av Industries LLC
- Avanti Limousines
- Kiah Ballantine
- Balogh & Cedarstaff Optometrists, P.C.
- Valerie J. Balogh
All providers in Highland, IN · Infectious Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. 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.