NPIMap

Individual provider Active NPI

Maher Kassis, M.D.

  • Internal Medicine Physician
  • Irvine, KY
National Provider Identifier
1912968603
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39071 Issued in KY
Practice address
1100 Richmond Rd
Irvine, KY 40336-7231
Phone
(606) 723-7706
Fax
(606) 726-9410
NPI assigned
Mar 31, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39071 KY Primary

Addresses

Primary practice location

1100 Richmond Rd
Irvine, KY 40336-7231

Mailing address

PO Box 636493
Cincinnati, OH 45263-6493
Phone (513) 981-5130

Other identifiers 1

IdentifierTypeStateIssuer
64099096MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050616000481 KY Practitioner - Internal Medicine 2769426162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Clinics LLCGroup PAC ID 2466592688, 12 clinicians

Practice addresses (Care Compare)

1100 Richmond Rd
Irvine, KY 40336-7231
Phone (606) 723-7706

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Clinics, LLC CurrentSince Jul 1, 2010 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Jul 1, 2010 Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC PastSince Jan 1, 2020 Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC Past Accepting new patients
Irvine Operating Company LLC Past Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC Internal Medicine Past Accepting new patients
Crab Orchard Family Practice Clinic Past Accepting new patients
SE Kentucky Family Practice Clinics Inc Past Accepting new patients
Mercy Health-Marcum & Wallace Hospital LLC Past Accepting new patients

Locations

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

Interoperability endpoints

  • Direct secure messaging: mkassis25526@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health-Marcum and Wallace HospitalIrvine, KY, CCN 181301 Hospital Corporate Director Mar 1, 2014
Mercy Health-Marcum & Wallace Hospital LLCIrvine, KY, CCN 18Z301 Hospital Corporate Director Mar 1, 2014
Mercy Health - Irvine Primary CareIrvine, KY, CCN 183462 Rural health clinic Corporate Director Mar 1, 2018
Mercy Health - Powell County Primary CareClay City, KY, CCN 183475 Rural health clinic Corporate Director Mar 1, 2014

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 10

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1912968603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636493",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636493",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367231",
            "telephone_number": "606-723-7706",
            "fax_number": "606-726-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "MAHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64099096",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.