Active NPI
Hisham Abbas Kassem, MD
- Pain Medicine (Anesthesiology) Physician
- Miami Shores, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME149891
- Practice address
- 9001 NE 2ND Ave
Miami Shores, FL 33138-3033 - Phone
- (305) 694-3775
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A171992 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME149891 | FL | Primary |
Addresses
Primary practice location
9001 NE 2ND Ave
Miami Shores, FL 33138-3033
Mailing address
7400 SW 109TH Ter
Pinecrest, FL 33156-3868
Phone (305) 987-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9001 NE 2ND Ave
Miami Shores, FL 33138-3033
Phone (305) 694-3775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171992 | CA | MD | Anesthesiology Physician |
| ME149891 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Anesthesiology | Current | Accepting new patients |
| Advance Pain Management of Florida Inc | Anesthesiology | Current | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
9001 NE 2nd Ave
Miami Shores, FL 33138
Phone (305) 694-3775
501 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 430-1700
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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Miami Shores, FL
- NPI 1821292996
Anesthesiology
-
- Anesthesiology Physician
- Orange, CA
- NPI 1487602546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1255868246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 SW 109TH TER",
"city": "PINECREST",
"state": "FL",
"postal_code": "331563868",
"telephone_number": "305-987-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 NE 2ND AVE",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331383033",
"telephone_number": "305-694-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSEM",
"first_name": "HISHAM",
"middle_name": "ABBAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A171992",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME149891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.