Individual provider Active NPI

Mohamad S Kassir, M.D.

  • Cardiovascular Disease Physician
  • Canton, OH
National Provider Identifier
1295775716
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-06-2681-K Issued in OH
Practice address
4466 Fulton Dr NW
Canton, OH 44718-2864
Phone
(330) 489-1386
Fax
(330) 489-1258
NPI assigned
Jun 7, 2006
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-06-2681-K OH Primary

Addresses

Primary practice location

4466 Fulton Dr NW
Canton, OH 44718-2864

Mailing address

4455 Dressler NWRD
Canton, OH 44718-2785
Phone (330) 837-6841

Other identifiers 2

IdentifierTypeStateIssuer
110085843OtherMEDICARE RAILROAD
0866479MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080318000122 OH Practitioner - Cardiovascular Disease (Cardiology) 8628960770 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Jun 1, 2007 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Jun 1, 2007 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1295775716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 DRESSLER NWRD",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182785",
            "telephone_number": "330-837-6841",
            "fax_number": "330-830-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182864",
            "telephone_number": "330-489-1386",
            "fax_number": "330-489-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIR",
        "first_name": "MOHAMAD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-06-2681-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110085843",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0866479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.