Bassam Khabbaz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10573 Issued in RI

Practice address

2295 Diamond Hill Rd
Cumberland, RI 02864-5104

Phone

(401) 333-3445

Fax

(401) 333-3465

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DICIBA/Endpoint/DICIBA

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.

• Family Internal Medicine Inc

  • Internal Medicine Physician
  • Cumberland, RI
  • NPI 1972514305
  Medicare reassignment NPD
• Barreto & Schwartz Psychology Associates PC Inc

  • Clinical Psychologist
  • Cumberland, RI
  • NPI 1780866707
  NPD (past)
• Rhode Island Internal Medicine Associates LLC

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1265729578
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Chartercare Sjhsri, LLC

  dba Our Lady of Fatima Hospital

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720123250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028645104",
            "telephone_number": "401-333-3445",
            "fax_number": "401-333-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028645104",
            "telephone_number": "401-333-3445",
            "fax_number": "401-333-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABBAZ",
        "first_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "10573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004563",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naydeen Raeone Kafalas, LMHC
• Kalee Kareemo
• Valentina Karnaukh, M.S., CF-SLP
• Liberty Kenyon, LMHC
• Kerve Psychiatric Care LLC
• Sana Khalid
• Mohammad D Khamiees, MD
• Florence Killi
• Minjung Kim, DMD
• King Family Trust

• Internal Medicine Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.