DR. BASSEM I RAZZOUK (MD) – Pediatric Hematology & Oncology Physician, NPI 1124021829

DR. BASSEM I RAZZOUK (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 01063092A (IN). The NPI Number for DR. BASSEM I RAZZOUK (MD) is 1124021829

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. BASSEM I RAZZOUK (MD)
NPI
1124021829
Phone
Not provided
Address
10330 N MERIDIAN ST
Enumeration Date
27 May 2005
Last Update Date
11 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173383617
Graduation Year
1987 (39 years ago)
PAC ID
1658476981
Group Practice PAC ID
1557313939
Professional Enrollment ID
I20070416000467
Address ID
IN462601902IN2001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

314 HEMATOLOGY/ONCOLOGY in IN

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Provider Addresses for DR. BASSEM I RAZZOUK (MD)

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    SUITE 201

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • Saint Vincent Indianapolis, 2001, West 86th Street, Indianapolis, Indiana, 46260, United States

    INDIANAPOLIS, IN 462601902

    Phone: (317) 338-4673

    Fax: (317) 338-3227

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $23,783.

Total Amount is formed as General ($23,783) + Research ($0) + Ownership ($0) = $23,783.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($22,345).

Total Amount

$23,783

General + Research + Ownership

Payments

36

Total payment records

General Amount

$23,783

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070416000467IHematology/OncologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46290)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557313939View full group profile
NameSpecialtyState
Pediatric MedicineIN
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerKY
Pediatric MedicineIN
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YWA
Nurse PractitionerIN
-IN
Otolaryngology, Pediatric MedicineIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BASSEM I RAZZOUK (MD)?
DR. BASSEM I RAZZOUK (MD) — NPI 1124021829 — is the standard way to identify this listing.
Does CMS list DR. BASSEM I RAZZOUK (MD) as active?
Yes — DR. BASSEM I RAZZOUK (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. BASSEM I RAZZOUK (MD)?
For research purposes, treat DR. BASSEM I RAZZOUK (MD) as Pediatric Hematology & Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. BASSEM I RAZZOUK (MD) serve?
DR. BASSEM I RAZZOUK (MD)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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