NPIMap

Individual provider Active NPI

Sarah Abdel Massih, MD

  • Nephrology Physician
  • Kingsport, TN
National Provider Identifier
1508381120
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64761 Issued in TN
Practice address
2002 Brookside Dr Ste 102
Kingsport, TN 37660-4634
Phone
(423) 245-6000
Fax
(423) 245-4190
NPI assigned
Aug 4, 2017
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116030990 VA
Nephrology Physician 207RN0300X 64761 TN Primary

Addresses

Primary practice location

2002 Brookside Dr Ste 102
Kingsport, TN 37660-4634

Mailing address

2002 Brookside Dr, Suite 102
Kingsport, TN 37660
Phone (505) 920-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616002401 TN Practitioner - NephrologyPractitioner - Internal Medicine 5799050548 Reassigns benefits to 1 organization
I20240229004618 VA Practitioner - Nephrology 5799050548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Kidney Care PCGroup PAC ID 5597728527, 8 clinicians

Practice addresses (Care Compare)

2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone 4232456000211

340 Anderson Hollow Rd
Suite 100
Norton, VA 24273-1100
Phone 4232456000211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64761TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Kidney Care, PC CurrentSince Aug 1, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients

Locations

2002 Brookside Dr
Ste 102
Kingsport, TN 37660
Phone (423) 245-6000

340 Anderson Hollow Rd
#100
Norton, VA 24273
Phone (276) 679-7805

Interoperability endpoints

  • Direct secure messaging: sabdelmassih301172@balladhealth.medalliesdirect.net
  • Direct secure messaging: smassih40274@direct.acumenmd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1508381120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 BROOKSIDE DR, SUITE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "505-920-2729",
            "fax_number": "423-245-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BROOKSIDE DR STE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604634",
            "telephone_number": "423-245-6000",
            "fax_number": "423-245-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL MASSIH",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116030990",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "64761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.