Individual provider Active NPI

Amead Atassi, M.D

  • Surgery Physician
  • Merrillville, IN
National Provider Identifier
1962565218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01033726A Issued in IN
Practice address
206 E.86TH Place
Merrillville, IN 46410
Phone
(219) 738-2801
Fax
(219) 736-7820
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01033726A IN Primary

Addresses

Primary practice location

206 E.86TH Place
Merrillville, IN 46410

Mailing address

206 E.86TH Place
Merrillville, IN 46410
Phone (219) 738-2801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000018 IN Practitioner - General Surgery 5395742688 Reassigns benefits to 1 organization
Practice locations: Merrillville, IN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01033726AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc. Surgery CurrentSince Jul 4, 2017 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jul 4, 2017 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

206 E 86th Pl
Merrillville, IN 46410
Phone (219) 738-2722

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962565218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E.86TH PLACE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-738-2801",
            "fax_number": "219-736-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E.86TH PLACE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-738-2801",
            "fax_number": "219-736-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "AMEAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01033726A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.