NPI Details
DR. Samir Kassicieh, DO is a family medicine in Albuquerque, NM with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Samir Kassicieh, DO NPI is 1730254350. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1981
The provider's business location address is:
1010 BRIDGE BLVD SW STE A
ALBUQUERQUE, NM
ZIP 87105-765
Phone: (505) 877-0212
Fax: (505) 877-0139
The NPI 1730254350 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 CLIA number assigned to this NPI record is 32D0673748 - practitioner other with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
- Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Testing for presence of drug, read by direct observation (HCPCS:80305)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/1/2008.
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 | 207Q00000X | Family Medicine | | A751 | NEW MEXICO | 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 | A751 | OTHER | | NM STATE ID |
| 2 | D43194 | MEDICARE UPIN | | |
| 3 | 40279 | MEDICAID | NEW MEXICO | |
| 4 | 2302439 | MEDICARE PIN | NEW MEXICO | |
