Kais A Balbissi, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD42438 Issued in TN

Practice address

329 N State of Franklin Rd
Johnson City, TN 37604-6062

Phone

(423) 979-4100

Fax

(423) 979-4134

NPI assigned

Oct 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1760670855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-979-4134",
            "fax_number": "423-979-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046062",
            "telephone_number": "423-979-4100",
            "fax_number": "423-979-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBISSI",
        "first_name": "KAIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD42438",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD42438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENCE",
            "identifier": "MD0000042438",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everett Vincent Baker, NURSE PRACTITIONER
• James L Baker, M.D.
• Morgan Baker, PT, DPT
• Skyler Drew Baker
• Balanced Medical Center PLLC
• Harper Alexis Baldwin, DO
• Jakob Jordan Ball, DO
• Patricia Ann Ball, RN
• Karen Suzanne Ballard, D.O.
• Richard Douglas Ballard, DC

• Interventional Cardiology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.