Individual provider Active NPI

Keith Atassi, M.D.

  • Interventional Cardiology Physician
  • Valparaiso, IN
National Provider Identifier
1336160753
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01038771A Issued in IN
Practice address
3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986
Phone
(219) 286-3788
Fax
(219) 286-3791
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01038771A IN
Interventional Cardiology Physician 207RI0011X 01038771A IN Primary

Addresses

Primary practice location

3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986

Mailing address

3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986
Phone (219) 286-3788

Other identifiers 4

IdentifierTypeStateIssuer
100356630MedicaidIN
060034739OtherRAILROAD MEDICARE
000000183526OtherBLUE CROSS BLUE SHIELD IN
90000561OtherBLUE SHIELD OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100301000572 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951499706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

3545 Arbor Blvd
Portage, IN 46368-4298
Phone (219) 759-6092

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Jan 2, 2018 Accepting new patients
Northwest Indiana Cardiovascular Physicians, P.C. Cardiovascular Disease Current Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

6375 US Highway 6
Ste C
Portage, IN 46368
Phone (219) 286-3788

3545 Arbor Blvd
Portage, IN 46368
Phone (219) 759-6092

2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226

3800 Saint Mary Rd
Ste 202
Valparaiso, IN 46383
Phone (219) 286-3788

2000 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 477-5242

85 E US Highway 6
Ste 300
Valparaiso, IN 46383
Phone (219) 983-6300

Interoperability endpoints

  • Direct secure messaging: katassi7266@ssdirect.comhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1336160753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD STE 202",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-286-3788",
            "fax_number": "219-286-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD STE 202",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-286-3788",
            "fax_number": "219-286-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038771A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01038771A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100356630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060034739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "000000183526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "90000561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.