DR. BASSEM I RAZZOUK MD NPI 1124021829

NPI Information

NPI: 1124021829
Provider Name: DR. BASSEM I RAZZOUK, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-4673
Get Directions

DR. Bassem I Razzouk, MD is a pediatric hematology-oncology pediatrics in Indianapolis, IN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Bassem I Razzouk, MD NPI is 1124021829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260-902
Phone: (317) 338-4673
Fax: (317) 338-3227

The NPI 1124021829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 4/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	01063092A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G16455	MEDICARE UPIN	TENNESSEE
2	100017620A	MEDICAID	OKLAHOMA
3	1550469	MEDICAID	LOUISIANA
4	00119428	MEDICAID	MISSISSIPPI
5	1135341 00	MEDICAID	WYOMING
6	200179550A	MEDICAID	INDIANA
7	3898886	MEDICAID	TENNESSEE
8	205028707	MEDICAID	MISSOURI
9	133870001	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	AR MEDICAID
10	Q30048	MEDICAID	SOUTH CAROLINA
11	542961	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	AZ MEDICAID
12	3824030	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE
13	060502401	MEDICAID	TEXAS
14	422400000	MEDICAID	MAINE
15	7611308	MEDICAID	NORTH CAROLINA
16	0535740	MEDICAID	IOWA
17	009913930	MEDICAID	ALABAMA
18	64928971	MEDICAID	KENTUCKY
19	006737242	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »