Individual provider Active NPI

Edmund Salim Kassis, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
National Provider Identifier
1568518538
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35093792 Issued in OH
Practice address
285 E State St Ste 400
Columbus, OH 43215-4368
Phone
(614) 566-7370
Fax
(614) 533-0187
NPI assigned
Jan 25, 2007
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35093792 OH Primary

Addresses

Primary practice location

285 E State St Ste 400
Columbus, OH 43215-4368

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other identifiers 1

IdentifierTypeStateIssuer
2962021MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090917000471 OH Practitioner - Thoracic SurgeryPractitioner - General Surgery 4981686433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

945 Bethesda Dr
Zanesville, OH 43701-1880

955 Bethesda Dr
Zanesville, OH 43701-1873
Phone (740) 450-6147

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35093792OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Feb 27, 2023 Accepting new patients
Genesis Medical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 27, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Genesis Healthcare System Past Accepting new patients

Locations

285 E State St
Ste 400
Columbus, OH 43215
Phone (614) 566-7370

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

285 E State St
Ste 460
Columbus, OH 43215
Phone (614) 566-7246

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

Organizations & group practices 6

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 4

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1568518538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154368",
            "telephone_number": "614-566-7370",
            "fax_number": "614-533-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "EDMUND",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35093792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2962021",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.