Active NPI
Usama Yassi, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME148549
- Practice address
- 1620 Medical LN Ste 100
Fort Myers, FL 33907-1143 - Phone
- (239) 275-1164
- Fax
- (239) 275-5212
- NPI assigned
- Apr 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R9171 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME148549 | FL | Primary |
Addresses
Primary practice location
1620 Medical LN Ste 100
Fort Myers, FL 33907-1143
Mailing address
14275 Midway Rd
Ste 400
Addison, TX 75001-3614
Phone (214) 932-8095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180731003089 | TX | Practitioner - Pathology | 0749411080 | Reassigns benefits to 1 organization |
| I20230816000394 | OK | Practitioner - Pathology | 0749411080 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Laboratory Associates, Inc.
Practice addresses (Care Compare)
4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone (918) 417-6400
Hospital & facility affiliations
- Hillcrest Hospital South
- Oklahoma Surgical Hospital, LLC
- Ascension St John Medical Center
- Hillcrest Medical Center
- Northeastern Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Pathology Laboratory Associates, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Utmb Faculty Group Practice | Anatomic Pathology | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
Dept 1050
Tulsa, OK 74182
4144 S Mingo Rd
Tulsa, OK 74146
Phone (918) 744-2500
Dept 1467
Tulsa, OK 74182
Dept 1038
Tulsa, OK 74182
4142 S Mingo Rd
Tulsa, OK 74146
Phone (918) 417-6400
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
Networks
- Freedom Health HMO Network
Interoperability endpoints
- uyassimd37245@direct.utmb.edu
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1750314076
Anatomic Pathology & Clinical Pathology, OK
-
- Clinic/Center
- Tulsa, OK
- NPI 1699343913
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Anatomic Pathology
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1336482009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8095",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 MEDICAL LN STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071143",
"telephone_number": "239-275-1164",
"fax_number": "239-275-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSI",
"first_name": "USAMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "R9171",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME148549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.