Individual provider Active NPI

Adib H Barsoum, M.D.

  • Neurological Surgery Physician
  • Bellevue, PA
National Provider Identifier
1790019032
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD029181L Issued in PA
Practice address
575 Lincoln Avenue
Suite LL1
Bellevue, PA 15202-3550
Phone
(412) 734-1100
Fax
(412) 734-5885
NPI assigned
Sep 18, 2009
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD029181L PA Primary

Addresses

Primary practice location

575 Lincoln Avenue
Suite LL1
Bellevue, PA 15202-3550

Mailing address

575 Lincoln Avenue
Suite LL1
Bellevue, PA 15202-3550
Phone (412) 734-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1790019032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LINCOLN AVENUE",
            "address_2": "SUITE LL1",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023550",
            "telephone_number": "412-734-1100",
            "fax_number": "412-734-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LINCOLN AVENUE",
            "address_2": "SUITE LL1",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023550",
            "telephone_number": "412-734-1100",
            "fax_number": "412-734-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "ADIB",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD029181L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.