NPIMap

Individual provider Active NPI

Firas Kassab, M.D.

  • Rheumatology Physician
  • Charlotte, NC
National Provider Identifier
1366649014
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2010-00127 Issued in NC
Practice address
8840 Blakeney Professional Dr Ste 200
Charlotte, NC 28277-6806
Phone
(704) 672-0449
Fax
(866) 469-2745
NPI assigned
Jun 27, 2007
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2010-00127 NC Primary

Addresses

Primary practice location

8840 Blakeney Professional Dr Ste 200
Charlotte, NC 28277-6806

Mailing address

8840 Blakeney Professional Dr Ste 200
Charlotte, NC 28277-6806
Phone (704) 672-0449

Other identifiers 4

IdentifierTypeStateIssuer
1366649014MedicaidNC
2137763MedicaidMA
5915888MedicaidNC
NC1238MedicaidSC

Other names 1

  • Firas Alkassab Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address firas.kassab.p1@direct.southcharlotterheum.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000708 NC Practitioner - Rheumatology 8224121348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Charlotte Rheumatology PLLCGroup PAC ID 3274929674, 3 clinicians

Practice addresses (Care Compare)

8840 Blakeney Professional Dr
Suite 200
Charlotte, NC 28277-6806
Phone (704) 672-0449

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Charlotte Rheumatology, PLLC Current Accepting new patients
South Charlotte Rheumatology, PLLC Rheumatology CurrentSince May 16, 2022 Accepting new patients

Locations

8840 Blakeney Professional Dr
Ste 200
Charlotte, NC 28277
Phone (704) 552-0116

Interoperability endpoints

  • Direct secure messaging: firas.kassab.p1@direct.aocc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1366649014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776806",
            "telephone_number": "704-672-0449",
            "fax_number": "866-469-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776806",
            "telephone_number": "704-672-0449",
            "fax_number": "866-469-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "FIRAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2010-00127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366649014",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137763",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915888",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1238",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "firas.kassab.p1@direct.southcharlotterheum.nextgenshare.com",
            "affiliation": "N",
            "address_1": "8840 Blakeney Professional Dr Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282776806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FIRAS",
            "last_name": "ALKASSAB",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.