Individual provider Active NPI

Leonard Khalil Kassis, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1659547818
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054434 Issued in MD
Practice address
350 Suite D Fortune Terr
Rockville, MD 20854-2972
Phone
(301) 309-0016
Fax
(301) 309-0174
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0054434 MD Primary

Addresses

Primary practice location

350 Suite D Fortune Terr
Rockville, MD 20854-2972

Mailing address

350 Suite D Fortune Terrace
Rockville, MD 20854-2972
Phone (301) 309-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090924000521 DC Practitioner - Internal Medicine 7315093887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians

Practice addresses (Care Compare)

12321 Middlebrook Rd
Germantown, MD 20874-1591
Phone (301) 428-1070

12321 Middlebrook Rd
Suite 101
Germantown, MD 20874-1512

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054434MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince Apr 16, 2021 Accepting new patients
Manbir Takhar, P.C. CurrentSince Mar 5, 2011 Accepting new patients
Tru Health Group, PC CurrentSince Jul 14, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Germantown, MD 20874
Phone (301) 741-3814

Interoperability endpoints

  • Direct secure messaging: leonardkassis@meacpc.allscriptsdirect.net
  • Direct secure messaging: leonard.kassis.1@20907.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1659547818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SUITE D FORTUNE TERRACE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542972",
            "telephone_number": "301-309-0016",
            "fax_number": "301-309-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUITE D FORTUNE TERR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542972",
            "telephone_number": "301-309-0016",
            "fax_number": "301-309-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "LEONARD",
        "middle_name": "KHALIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.