Active NPI
Nadia A Kassissieh, M.D.
- Physical Medicine & Rehabilitation Physician
- Woburn, MA
National Provider Identifier
1306894688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35225
- Practice address
- 2 Rehabilitation Way
Woburn, MA 01801-6003 - Phone
- (781) 935-5050
- Fax
- (781) 938-5639
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35225 | MA | Primary |
Addresses
Primary practice location
2 Rehabilitation Way
Woburn, MA 01801-6003
Mailing address
PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134330 | Other | MA | CIGNA |
| 3010902 | Medicaid | MA | |
| 80144 | Other | MA | HARVARD PILGRIM |
| 709611 | Other | TUFTS HEALTH PLAN | |
| 96983001 | Other | MA | NETWORK HEALTH |
| M08621 | Other | MA | BLUE CROSS BLUE SHIELD |
| 012039 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35225 | MA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Bader MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6568/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Stoneham, MA
- NPI 1326219882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1306894688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "AMHERST",
"state": "NH",
"postal_code": "030314200",
"telephone_number": "603-673-9411",
"fax_number": "603-673-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 REHABILITATION WAY",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016003",
"telephone_number": "781-935-5050",
"fax_number": "781-938-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSISSIEH",
"first_name": "NADIA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "35225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "134330",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3010902",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "80144",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "709611",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "96983001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M08621",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "012039",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.