Bassem Azkul, M.D.
Individual provider Active NPI Family Medicine Physician · Laconia, NH
NPI 1487831376 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1487831376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13613 (NH)
- Practice address
- 22 Strafford St
Laconia, NH 03246-4701 - Phone
- (603) 366-1070
- Fax
- (603) 366-1071
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Associates, Inc.
Practice addresses (Care Compare)
70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151
Hospital & facility affiliations
- Holy Family Hospital
- Dana-Farber Cancer Institute
- Merrimack Health Lawrence Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080225000133 | NH | Practitioner - Family Practice |
3870677271 | Reassigns benefits to 1 organization |
| I20160421000074 | MA | Practitioner - Family Practice | 3870677271 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13613 | NH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Lawrence General Hospital | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Lawrence General Hospital | Current |
Accepting new patients | |
| Healthfirst Family Care Center, Inc. | Past | Accepting new patients | |
| The Lakes Region Mental Health Center, Inc. | Past |
Accepting new patients | |
| Mat Care Clinics LLC | Family Medicine | Past | Accepting new patients |
| LG Newcorp Inc | Past | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
70 East St
Methuen, MA 01844
Phone (978) 682-1906
22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13613 | NH | Yes |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 13613 | NH | |
| Hospitalist Physician | 208M00000X | 13613 | NH |
Addresses
Primary practice location
22 Strafford St
Laconia, NH 03246-4701
Mailing address
841 Central St
Franklin, NH 03235-2026
Phone (603) 934-0177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30207456 | Medicaid | NH |
Other providers in Laconia, NH
- Catherine M. Austin
- Alyssa Avery
- Alan Awrich
- Annie Ayala
- Lisa Ayers
- Korissa Bailey
- Laura A Bailey
- Rodney Ed Baker
- Gurvinder Singh Bali
- Emily Anne Ball
All providers in Laconia, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.