Organization Active NPI

B. Atassi MD PC

  • Urology Physician
  • Merrillville, IN
National Provider Identifier
1285837138
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01026618 Issued in IN
Legal business name
B. ATASSI MD PC
Practice address
206 E 86TH PL
Merrillville, IN 46410-6258
Phone
(219) 738-2722
NPI assigned
Jun 7, 2007
Organization subpart
Yes
Parent organization
B. ATASSI MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Dr. Bassem Atassi, MD
Title
MD
Phone
(219) 738-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 01026618 IN Primary

Addresses

Primary practice location

206 E 86TH PL
Merrillville, IN 46410-6258

Mailing address

206 E 86TH PL
Merrillville, IN 46410-6258
Phone (219) 738-2722

Other identifiers 1

IdentifierTypeStateIssuer
200818780MedicaidIN

National Provider Directory

National Provider Directory
Part of
Bassem Atassi MD PC

Locations

206 E 86th Pl
Merrillville, IN 46410
Phone (219) 738-2722

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1285837138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-738-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-738-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. ATASSI MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B. ATASSI MD PC",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "219-738-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IN",
            "license": "01026618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200818780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.