DR. EDGAR J MASSABNI MD
NPI 1649236829
Internal Medicine - Interventional Cardiology in Marinette, WI

Q: What is Edgar Massabni's NPI number?

The NPI number for Edgar Massabni is 1649236829. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Edgar Massabni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Massabni was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 25, 2006PECOS EnrolledAccepts Medicare Assignment

3100 SHORE DR, MARINETTE, WI 54143(715) 735-8067(715) 732-8224 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2020, Sep 23, 2019, Sep 19, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Edgar J Massabni Md NPPES

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

DR. EDGAR J MASSABNI MD (NPI 1649236829) is an individual interventional cardiology provider in Marinette, Wisconsin, licensed in Wisconsin (51186) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1649236829

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. EDGAR J MASSABNICredential: MD

Location Address3100 SHORE DRMarinette, WI 54143-4242

Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 445-7226 · Fax (920) 445-7229

Phone(715) 735-8067

Fax(715) 732-8224

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateApril 25, 2006

Last NPPES UpdateMarch 30, 20204 updates tracked since enumeration

NPPES CertifiedMarch 30, 2020

✔ NPI 1649236829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in WI · 51186

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301093535 (MI), 51186-20 (WI)

3100 SHORE DR, Marinette, WI 54143

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Other Identifiers 1

Other007100492WI · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, HealthPartners and more.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. Edgar J Massabni Md 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 ID1153379557

PECOS Enrollment IDI20180703000848

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 Edgar Massabni reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dickinson County Healthcare System

51 mi

Rural Health

500 MAIN ST
Norway, MI 49870

Reassigned Medicare billing, Michigan enrollment
136 clinicians in this Medicare group

NPI 1053580365 (906) 563-9255

Dlp Marquette Physician Practices Inc

53 mi

Family Medicine

2500 7TH AVE S, STE 201
Escanaba, MI 49829

Reassigned Medicare billing, Michigan enrollment
440 clinicians in this Medicare group

NPI 1538415021 (906) 786-4628

Thedacare, Incorporated

70 mi

Counselor

1095 MIDWAY RD
Menasha, WI 54952

Reassigned Medicare billing, Wisconsin enrollment
988 clinicians in this Medicare group

NPI 1306959515 (920) 720-2300

Mercy Health System Corporation

179 mi

General Acute Care Hospital

1000 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1093768962 (608) 756-6000

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 12

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.

142 services84 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

66 services58 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

50 services50 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

37 services37 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

35 services35 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

34 services34 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

34 services34 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

23 services22 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.

18 services18 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

16 services15 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

16 services16 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230054

Location850 W Baraga AveMarquette, MI 49855 · Marquette County

Emergency services Birthing friendly

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230055

Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County

Emergency services Birthing friendly

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231318

Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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. DAVID R MERTENS MD

Internal Medicine (Hematology & Oncology)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-6523

KARA ANN MEKARSKI CCC-SLP

Speech-Language Pathologist

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 732-5102

DANIELLE L DENRUYTER RD

Dietitian, Registered

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-4200

BAY AREA IMAGING, S.C.

Radiology (Diagnostic Radiology)

3100 SHORE DR, RADIOLOGY DEPARTMENT
MARINETTE, WI 54143

Marinette County (715) 735-4200

JENA K DOEMEL

Dietitian, Registered

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 732-4200

NORTHREACH HEALTHCARE LLC

Family Medicine

3100 SHORE DR, NORTHREACH HEALTHCARE LLC
MARINETTE, WI 54143

Marinette County (715) 732-2075

BAY AREA MEDICAL CENTER, INC

Internal Medicine (Cardiovascular Disease)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-8067

TRUDI A CHASE MD

Internal Medicine (Hematology & Oncology)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-4200

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 Edgar Massabni's NPI number?

The NPI number for Edgar Massabni is 1649236829. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Edgar Massabni located?

Edgar Massabni practices at 3100 Shore Dr, Marinette, WI 54143. The listed phone number is (715) 735-8067.

What is Edgar Massabni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Edgar Massabni enrolled in Medicare?

Yes. Edgar Massabni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edgar Massabni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Massabni reassigns Medicare benefits to 4 organizations: Dickinson County Healthcare System (Norway, MI), Dlp Marquette Physician Practices Inc (Escanaba, MI), Thedacare, Incorporated (Menasha, WI) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgar Massabni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Massabni accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, HealthPartners, Network Health and Security Health Plan list Edgar Massabni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edgar Massabni affiliated with any hospitals?

According to CMS data, Edgar Massabni is affiliated with Uphs Marquette Dlp Hospital, Dickinson County Memorial Hospital and Aspirus Iron River Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Edgar Massabni was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.