Individual provider Active NPI

Bassem George Chahine, M.D.

  • Allergy & Immunology Physician
  • Miami, FL
National Provider Identifier
1518971753
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME98543 Issued in FL
Practice address
8740 N Kendall Dr
Suite # 215
Miami, FL 33176-2212
Phone
(305) 270-1073
Fax
(866) 982-8070
NPI assigned
Jul 27, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME98543 FL Primary

Addresses

Primary practice location

8740 N Kendall Dr
Suite # 215
Miami, FL 33176-2212

Mailing address

8740 N Kendall Dr
Suite # 215
Miami, FL 33176-2212
Phone (305) 270-1073

Other identifiers 3

IdentifierTypeStateIssuer
272708907OtherFLTRICARE
PENDINGMedicaidFL
149SYOtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000705 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3072571405 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Aug 1, 2015 Accepting new patients
Tonawanda Medical Services, PC Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8740 N Kendall Dr
Ste 215
Miami, FL 33176
Phone (305) 270-1073

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1518971753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE # 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-270-1073",
            "fax_number": "866-982-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE # 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-270-1073",
            "fax_number": "866-982-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHINE",
        "first_name": "BASSEM",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME98543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "272708907",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "149SY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.