Organization Active NPI

Bassem Adie MD PLLC

  • Internal Medicine Physician
  • Irvine, KY
National Provider Identifier
1467532002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33306 Issued in KY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000046044OtherKYBLUE CROSS
64001738MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.