Individual provider Active NPI

Bassam Husam Rimawi, M.D.

  • Maternal & Fetal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1437436854
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2019-01840 Issued in NC
Practice address
23 Sunnybrook Rd Ste 316
Raleigh, NC 27610-1874
Phone
(919) 350-6002
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 260-782 NY
Obstetrics & Gynecology Physician 207V00000X 4301099694 MI
Obstetrics & Gynecology Physician 207V00000X 34542 SC
Maternal & Fetal Medicine Physician 207VM0101X 72645 GA
Maternal & Fetal Medicine Physician 207VM0101X 2019-01840 NC Primary

Addresses

Primary practice location

23 Sunnybrook Rd Ste 316
Raleigh, NC 27610-1874

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Other practice location 1

101 Cotten Ln
Holly Springs, NC 27540-8415
Phone (919) 350-6002

Other practice location 2

10010 Falls Of Neuse Rd Ste 302
Raleigh, NC 27614-8497
Phone (919) 350-6002

Other practice location 3

210 Ashville Ave
Cary, NC 27518-6676
Phone (919) 350-6002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brimawi259998@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190903000354 NC Practitioner - Obstetrics/Gynecology 5890953871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301099694MIMDObstetrics & Gynecology Physician
260-782NYMDObstetrics & Gynecology Physician
34542SCMDObstetrics & Gynecology Physician
72645GAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC Obstetrics & Gynecology Current Accepting new patients
Wake Specialty Physicians, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

23 Sunnybrook Rd
Ste 316
Raleigh, NC 27610
Phone (919) 239-4132

2920 Highwoods Blvd
Raleigh, NC 27604

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800

10010 Falls of Neuse Rd
Ste 302
Raleigh, NC 27614
Phone (919) 350-6002

Interoperability endpoints

  • Direct secure messaging: brimawi259998@directhisp.wakemed.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1437436854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUNNYBROOK RD STE 316",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101874",
            "telephone_number": "919-350-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cotten Ln",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275408415",
            "country_code": "US",
            "telephone_number": "919-350-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10010 Falls Of Neuse Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276148497",
            "country_code": "US",
            "telephone_number": "919-350-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Ashville Ave",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275186676",
            "country_code": "US",
            "telephone_number": "919-350-6002",
            "fax_number": "919-350-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIMAWI",
        "first_name": "BASSAM",
        "middle_name": "HUSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "260-782",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301099694",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "34542",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "72645",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2019-01840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brimawi259998@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "23 Sunnybrook Rd Ste 316",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.