Individual provider Active NPI

Michael Ciril Ghassibi, D.O.

  • Orthopaedic Surgery Physician
  • Columbia, MO
National Provider Identifier
1447677679
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2019009763 Issued in MO
Practice address
1100 Virginia Avenue
Columbia, MO 65212-0001
Phone
(573) 882-2663
Fax
(573) 882-1760
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2019009763 MO Primary

Addresses

Primary practice location

1100 Virginia Avenue
Columbia, MO 65212-0001

Mailing address

11277 Vernon PL
Ste 200
Meadville, PA 16335-3719
Phone (814) 724-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200604000356 PA Practitioner - Orthopedic Surgery 1355644477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Orthopedic Associates of Meadville, P.C.Group PAC ID 0446151864, 17 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

11277 Vernon PL
Suite 200
Meadville, PA 16335-3719
Phone (814) 724-1252

316 Allegheny Blvd
Franklin, PA 16323-6208
Phone (814) 432-7200

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Vna Alliance Home health agency, Meadville, PA, CCN 397655
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314

Merit-based Incentive Payment System (MIPS)

Final score
72.48 of 100Reported as individual
Quality
51
Improvement activities
40
Cost
73.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion523
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Meadville, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

11277 Vernon Pl
Ste 200
Meadville, PA 16335
Phone (814) 373-2230

Interoperability endpoints

  • Direct secure messaging: mghassibi@oamed1435.srs-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1447677679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11277 VERNON PL",
            "address_2": "STE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353719",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VIRGINIA AVENUE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-2663",
            "fax_number": "573-882-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASSIBI",
        "first_name": "MICHAEL",
        "middle_name": "CIRIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2019009763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.