DR. BASSIM KOBROSSY M.D.
NPI 1639169675
Internal Medicine - Medical Oncology in Fargo, ND

Q: What is Bassim Kobrossy's NPI number?

The NPI number for Bassim Kobrossy is 1639169675. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Bassim Kobrossy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Bassim Kobrossy was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment

1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 536-4189 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Bassim Kobrossy M.d. NPPES

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

DR. BASSIM KOBROSSY M.D. (NPI 1639169675) is an individual medical oncology provider in Fargo, North Dakota, licensed in North Dakota (17244) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639169675

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. BASSIM KOBROSSYCredential: M.D.

Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940

Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-8000

Phone(701) 364-3300

Fax(701) 536-4189

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 21, 2005

Last NPPES UpdateMay 12, 2021

NPPES CertifiedMay 12, 2021

✔ NPI 1639169675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in ND · 17244

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 35516 (IA)

1702 UNIVERSITY DR S, Fargo, ND 58103

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Other Identifiers 1

Medicaid0434035IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bassim Kobrossy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052302718

PECOS Enrollment IDI20210512002189, I20210701002230

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.

Medicare Billing Reassignments

Medicare enrollment records show Bassim Kobrossy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Innovis Health LLC

Same address

Family Medicine

1702 UNIVERSITY DR S
Fargo, ND 58103

Reassigned Medicare billing, North Dakota enrollment
617 clinicians in this Medicare group

NPI 1255677084 (701) 364-3300

St. Mary's Regional Health Center

33 mi

Family Medicine

1005 1ST ST
Lake Park, MN 56554

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Marys Regional Health Center
254 clinicians in this Medicare group

NPI 1548604309 (218) 238-5901

First Care Medical Services

70 mi

Critical Access Hospital

900 HILLIGOSS BLVD SE
Fosston, MN 56542

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1497850119 (Minnesota)
91 clinicians in this Medicare group

NPI 1073638565 (218) 435-1133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

581 services208 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

269 services95 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Essentia Health Ada

Critical Access Hospitals · Ada, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241313

Location201 9th Street WestAda, MN 56510 · Norman County

Emergency services

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Chi Mercy Health

Critical Access Hospitals · Valley City, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351324

Location570 Chautauqua BlvdValley City, ND 58072 · Barnes County

Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number351335

Location2422 20th St SWJamestown, ND 58401 · Stutsman County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.12 typical visit price

range $55.75 – $168.12

Typical copayment $42.03 (range $13.93 – $42.03)

Most-billed visit code 99205

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers18 claims1,356 services$0.76 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers16 claims16 services$18.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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Physical Medicine & Rehabilitation