Individual provider Active NPI

Bassem A Abazid, M.D.

  • Cardiovascular Disease Physician
  • Lenoir City, TN
National Provider Identifier
1689835944
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD53164 Issued in TN
Practice address
576 Loudoun Medical Center Drive
Suite 200
Lenoir City, TN 37772
Phone
(865) 988-9970
Fax
(865) 271-6621
NPI assigned
Jun 19, 2008
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD53164 TN Primary

Addresses

Primary practice location

576 Loudoun Medical Center Drive
Suite 200
Lenoir City, TN 37772

Mailing address

576 Loudoun Medical Center Drive
Suite 200
Lenoir City, TN 37772
Phone (865) 988-9970

Other identifiers 1

IdentifierTypeStateIssuer
Q019208MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abazid.bassem@covenenthealth.cerner.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151211001838 TN Practitioner - Cardiovascular Disease (Cardiology) 0749451292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Loudoun Medical CenterGroup PAC ID 3476451063, 3 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6500

576 Fort Loudon Medical Ctr Dr
Suite 200
Lenoir City, TN 37772-5676
Phone (865) 988-9970

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as individual
Quality
78.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD53164TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Oct 21, 2024 Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease CurrentSince Nov 1, 2022 Accepting new patients
Fort Loudoun Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Covenant Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
Knoxville Hma Physician Management, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

576 Fort Loudon Medical Center Dr
Ste 200
Lenoir City, TN 37772
Phone (865) 271-6180

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1689835944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 LOUDOUN MEDICAL CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-988-9970",
            "fax_number": "865-271-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 LOUDOUN MEDICAL CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-988-9970",
            "fax_number": "865-271-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZID",
        "first_name": "BASSEM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD53164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019208",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abazid.bassem@covenenthealth.cerner.com",
            "affiliation": "N",
            "address_1": "576 Loudoun Medical Center Drive",
            "address_2": "Suite 200",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.