NPIMap

Individual provider Active NPI

Ehab S Kasasbeh, M.D.

  • Interventional Cardiology Physician
  • Dickson, TN
National Provider Identifier
1467645903
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD45040 Issued in TN
Practice address
113 Highway 70 East
Dickson, TN 37055-2075
Phone
(615) 441-4435
Fax
(615) 441-4457
NPI assigned
Aug 18, 2007
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD45040 TN
Interventional Cardiology Physician 207RI0011X MD45040 TN Primary

Addresses

Primary practice location

113 Highway 70 East
Dickson, TN 37055-2075

Mailing address

127 Crestview Park Drive
Dickson, TN 37055-2855
Phone (615) 446-5121

Other identifiers 2

IdentifierTypeStateIssuer
4329501OtherBCBS TN
1515943MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20091110000408 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012088081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Practice addresses (Care Compare)

113 Hwy 70 E
Dickson, TN 37055-2075
Phone (615) 446-5121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal39
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD45040TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC Current Accepting new patients
Dickson Medical Associates, PC CurrentSince Jul 23, 2012 Accepting new patients

Locations

113 Highway 70 E
Dickson, TN 37055
Phone (615) 446-5121

127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478

758 Highway 46 S
Dickson, TN 37055
Phone (615) 446-2708

Interoperability endpoints

  • Direct secure messaging: ekasasbeh26967@dicksonmedicalassociates.gardenplot.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dickson Medical Associates, PCWaverly, TN, CCN 448958 Rural health clinic General Partnership Interest (4.93%) Jul 23, 2014
Dma South PediatricsDickson, TN, CCN 883843 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Apr 1, 2014
Dickson Medical Associate White BluffWhite Bluff, TN, CCN 883842 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Jul 23, 2014
Dickson Medical Associates Crestview Walk-inDickson, TN, CCN 883854 Rural health clinic 5% Or Greater Direct Ownership Interest (7.04%) Apr 1, 2014
Dickson Medical Associates, PCFairview, TN, CCN 883917 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Apr 1, 2014
Dma Pediatrics and Specialty ClinicWaverly, TN, CCN 883924 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Jul 23, 2014
First Priority HealthHohenwald, TN, CCN 883955 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Jul 23, 2014
Dickson Medical Associates, PCAshland City, TN, CCN 883965 Rural health clinic 5% Or Greater Direct Ownership Interest (7.04%) Jul 23, 2014
Dickson Medical Associates, PCKingston Springs, TN, CCN 883966 Rural health clinic 5% Or Greater Direct Ownership Interest (7.04%) Jul 23, 2014
Dma SouthDickson, TN, CCN 888923 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Jul 23, 2014

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1467645903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DRIVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552855",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HIGHWAY 70 EAST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552075",
            "telephone_number": "615-441-4435",
            "fax_number": "615-441-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASASBEH",
        "first_name": "EHAB",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD45040",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD45040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4329501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515943",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.