Individual provider Active NPI

Bassam J Zakhour, MD PA

  • Surgery Physician
  • Mesquite, TX
National Provider Identifier
1346207461
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G8771 Issued in TX
Practice address
929 N Galloway Ave
Suite 210
Mesquite, TX 75149-2476
Phone
(972) 613-5860
Fax
(972) 613-5893
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G8771 TX Primary

Addresses

Primary practice location

929 N Galloway Ave
Suite 210
Mesquite, TX 75149-2476

Mailing address

929 N Galloway Ave
210
Mesquite, TX 75149-2476
Phone (972) 613-5860

Other identifiers 1

IdentifierTypeStateIssuer
122672201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091230000633 TX Practitioner - General Surgery 0446324537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 N Galloway
Suite 210
Mesquite, TX 75149-2491
Phone (972) 613-5860

929 N Galloway Ave
Suite 210
Mesquite, TX 75149-2491

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)23
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bassam J Zakhour MD PA Surgery CurrentSince Nov 14, 1988 Accepting new patients

Locations

929 N Galloway Ave
Ste 210
Mesquite, TX 75149
Phone (972) 216-8400

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.

Hospital & facility affiliations 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1346207461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-613-5860",
            "fax_number": "972-613-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "SUITE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-613-5860",
            "fax_number": "972-613-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHOUR",
        "first_name": "BASSAM",
        "middle_name": "J",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G8771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122672201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.