Faazil Kassam, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

274282 Issued in MA

Practice address

51 State Rd
Dartmouth, MA 02747

Phone

(508) 994-1900

NPI assigned

Mar 2, 2018

Last updated

Jul 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1548762875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST UNIT 408",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "929-309-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-994-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Winthrop St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027804242",
            "country_code": "US",
            "telephone_number": "508-823-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAM",
        "first_name": "FAAZIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "274282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kallevik
• Haralampos Kamenidis, MD
• Linda Kampf, RN-NP
• Barbara Braun Kaplan, LICSW
• Anthony B Karabanow, MD
• Elana Katz Rose
• Kim Katz
• Elizabeth Keith, NP
• Stephen Leighton Keith, M.D.
• Deborah D Kelly, M.D.

• Ophthalmology Physician in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.