Active NPI
Bassem Adie MD PLLC
- Internal Medicine Physician
- Irvine, KY
National Provider Identifier
1467532002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33306
- Legal business name
- BASSEM ADIE MD PLLC
- Practice address
- 133 Main St
Irvine, KY 40336-1084 - Phone
- (606) 723-0122
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bassem Adie, M.D.
- Title
- Owner Primary Physician
- Phone
- (606) 723-0122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33306 | KY | Primary |
Addresses
Primary practice location
133 Main St
Irvine, KY 40336-1084
Mailing address
133 Main St
Irvine, KY 40336-1084
Phone (606) 723-0122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000046044 | Other | KY | BLUE CROSS |
| 64001738 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
133 Main St
Irvine, KY 40336
Phone (606) 346-2795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467532002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 MAIN ST",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361084",
"telephone_number": "606-723-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MAIN ST",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361084",
"telephone_number": "606-723-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASSEM ADIE MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADIE",
"authorized_official_first_name": "BASSEM",
"authorized_official_title_or_position": "OWNER PRIMARY PHYSICIAN",
"authorized_official_telephone_number": "606-723-0122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "33306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000046044",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64001738",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.