Individual provider Active NPI

Zain Kassam, MD, MPH, FRCPC

  • Gastroenterology Physician
  • Medford, MA
National Provider Identifier
1982011813
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
88452 Issued in ZZ
Practice address
196 Boston Ave
Suite #1000
Medford, MA 02155-4236
Phone
(857) 333-7375
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 88452 ZZ Primary

Addresses

Primary practice location

196 Boston Ave
Suite #1000
Medford, MA 02155-4236

Mailing address

196 Boston Ave
Suite #1000
Medford, MA 02155-4236
Phone (857) 333-7375

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88452ZZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Microbiome Health Research Institute Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1982011813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BOSTON AVE",
            "address_2": "SUITE #1000",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554236",
            "telephone_number": "857-333-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BOSTON AVE",
            "address_2": "SUITE #1000",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554236",
            "telephone_number": "857-333-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAM",
        "first_name": "ZAIN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FRCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ZZ",
            "license": "88452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.