NPIMap

Individual provider Active NPI

Fadi Atassi, MD

  • Interventional Cardiology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1851553119
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
44211 Issued in AZ
Practice address
2082 Mesquite Ave
Suite A100
Lake Havasu City, AZ 86403-6710
Phone
(928) 453-2727
Fax
(928) 453-2828
NPI assigned
Jun 27, 2008
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44211 AZ
Interventional Cardiology Physician 207RI0011X 44211 AZ Primary

Addresses

Primary practice location

2082 Mesquite Ave
Suite A100
Lake Havasu City, AZ 86403-6710

Mailing address

PO Box 3539
Lake Havasu City, AZ 86405-3539
Phone (312) 371-6142

Other identifiers 1

IdentifierTypeStateIssuer
603954MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000652 AZ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0941478135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Heart and Vascular Center PLLCGroup PAC ID 4587832779, 20 clinicians

Practice addresses (Care Compare)

2082 Mesquite Ave
Suite 100a
Lake Havasu City, AZ 86403-6710
Phone (928) 453-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
60.31
Promoting interoperability
93
Improvement activities
40
Cost
78.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair56
Varicose vein removal245
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)16
Removal of skin lesions19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44211AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc Current Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Apr 25, 2024 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jun 2, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Apr 25, 2024 Accepting new patients
Cardiac Imaging Inc CurrentSince Mar 2, 2013 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste K
Parker, AZ 85344
Phone (928) 669-1097

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

Interoperability endpoints

  • Direct secure messaging: fadi.atassi.1@3291.direct.athenahealth.com
  • Direct secure messaging: fadiatassi@lprh.medalliesdirect.net
  • Direct secure messaging: oxc8877@yourcarecommunity.org

Organizations & group practices 8

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 6

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1851553119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3539",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053539",
            "telephone_number": "312-371-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 MESQUITE AVE",
            "address_2": "SUITE A100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036710",
            "telephone_number": "928-453-2727",
            "fax_number": "928-453-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "FADI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "44211",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "44211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603954",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.