Individual provider Active NPI

Bassam Hammudi, MD

  • Anesthesiology Physician
  • York, PA
National Provider Identifier
1558355776
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD420566 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 812-7687
Fax
(717) 851-5250
NPI assigned
Sep 2, 2005
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101255144 VA
Anesthesiology Physician 207L00000X BH8311653 PA
Anesthesiology Physician 207L00000X MD420566 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-7687

Other practice location 1

1086 Franklin St
Suite A401
Johnstown, PA 15905-4305
Phone (814) 534-5138

Other practice location 2

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 612-6142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050927000604 PA Practitioner - Anesthesiology 7214962406 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLCGroup PAC ID 4688860455, 61 clinicians
Novus Pennsylvania Professional CorporationGroup PAC ID 6800259631, 18 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420566PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Windber Hospital, Inc CurrentSince Oct 1, 2022 Accepting new patients
Novus Pennsylvania Professional Corporation Anesthesiology CurrentSince Nov 14, 2024 Accepting new patients
Fink Anesthesia Inc CurrentSince Aug 1, 2022 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC Anesthesiology CurrentSince Jan 29, 2022 Accepting new patients
Excela Health Physician Practices Inc Anesthesiology CurrentSince Oct 17, 2022 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Windber Hospital, Inc. Anesthesiology Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1421 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-2224

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
Ste A401
Johnstown, PA 15905
Phone (814) 534-5138

1086 Franklin St
Ste M4000
Johnstown, PA 15905
Phone (814) 534-7560

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Organizations & group practices 11

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1558355776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-7687",
            "fax_number": "814-534-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-7687",
            "fax_number": "717-851-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_2": "Suite A401",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-5138",
            "fax_number": "814-534-5149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-612-6142",
            "fax_number": "757-594-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMUDI",
        "first_name": "BASSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101255144",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "BH8311653",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD420566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.