NPIMap

Organization Active NPI

Bassem M Chehab MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1750623732
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0433223 Issued in KS
Legal business name
BASSEM M CHEHAB MD PA
Practice address
9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone
(316) 265-1308
Fax
(316) 265-4480
NPI assigned
Mar 18, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Gerard F Bieker
Title
Business Manager
Phone
(316) 712-9234

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20130803000079 KS Part B Supplier - Clinic/Group Practice 0840432845 Receives reassigned benefits from 19 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

9350 E 35th St N
Ste 101
Wichita, KS 67226
Phone (316) 265-1308

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 0433223 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019

Mailing address

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone (316) 265-1308

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2013.

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1750623732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSEM M CHEHAB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "BIEKER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "316-712-9234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0433223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.