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BASSAM KHABBAZ MD
NPI 1720123250
Internal Medicine in Cumberland, RI

Active since February 21, 2007PECOS EnrolledCLIA 41D1037802 · Waiver
2295 DIAMOND HILL RD, CUMBERLAND, RI 02864(401) 333-3445(401) 333-3465 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bassam Khabbaz Md NPPES

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

BASSAM KHABBAZ MD (NPI 1720123250) is an individual internal medicine provider in Cumberland, Rhode Island, licensed in Rhode Island (10573) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 3, 2027, and is affiliated with Our Lady Of Fatima Hospital.

NPPES Registry Identity

NPI1720123250
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBASSAM KHABBAZCredential: MD
Location Address2295 DIAMOND HILL RDCumberland, RI 02864-5104
Mailing Address2295 Diamond Hill RdCumberland, RI 02864-5104 · (401) 333-3445 · Fax (401) 333-3465
Phone(401) 333-3445
Fax(401) 333-3465
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720123250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · 10573
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2295 DIAMOND HILL RD, Cumberland, RI 02864
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Other Identifiers 2

Medicare UPINH36752RI
Medicaid9004563RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bassam Khabbaz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052363132
PECOS Enrollment IDI20050217000001
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D1037802

Bassam Khabbaz MD Family Internal Med · Cumberland, RI
Active · expires Mar 3, 2027
CLIA Number41D1037802
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorBassam Khabbaz
Laboratory Phone(401) 333-3445
Laboratory LocationBassam Khabbaz MD Family Internal Med2295 Diamond Hill Rd, Cumberland, RI 02864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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 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.
122 services59 patients
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.
118 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
57 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
48 services48 patients
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report 92588
This procedure involves placing a probe in your ear to measure how it responds to repeated sounds. The data is then interpreted by a computer to assess your hearing health. The findings are compiled into a report for further evaluation.
44 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02864 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 2

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

LEPRE PHYSICAL THERAPY OF CUMBERLAND, LLC
Physical Therapist
2295 DIAMOND HILL RD
CUMBERLAND, RI 02864
Providence County (401) 333-9787
FAMILY INTERNAL MEDICINE INC
Internal Medicine
2295 DIAMOND HILL RD
CUMBERLAND, RI 02864
Providence County (401) 333-3445

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 Bassam Khabbaz's NPI number?

The NPI number for Bassam Khabbaz is 1720123250. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Bassam Khabbaz located?

Bassam Khabbaz practices at 2295 Diamond Hill Rd, Cumberland, RI 02864. The listed phone number is (401) 333-3445.

What is Bassam Khabbaz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bassam Khabbaz enrolled in Medicare?

Yes. Bassam Khabbaz is registered in the Medicare PECOS enrollment system.

Does Bassam Khabbaz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1037802) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bassam Khabbaz affiliated with any hospitals?

According to CMS data, Bassam Khabbaz is affiliated with Our Lady Of Fatima Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Bassam Khabbaz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.