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ANDRE JIORJIOS MOUSSA KASSIS MD
NPI 1003662941
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since April 29, 2024PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Jiorjios Moussa Kassis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE JIORJIOS MOUSSA KASSIS MD (NPI 1003662941) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP06210) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003662941
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE JIORJIOS MOUSSA KASSISCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-4741 · Fax (401) 444-4445
Phone(401) 444-4741
Fax(401) 444-4445
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1003662941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in RI · LP06210
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
593 EDDY ST, Providence, RI 02903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Jiorjios Moussa Kassis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Moussa Kassis's NPI number?

The NPI number for Andre Moussa Kassis is 1003662941. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Andre Moussa Kassis located?

Andre Moussa Kassis practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4741.

What is Andre Moussa Kassis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andre Moussa Kassis enrolled in Medicare?

Yes. Andre Moussa Kassis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Moussa Kassis was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.