DR. BASSEL ERICSOUSSI (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1700087632
Critical Care Medicine (Internal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
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Provider Addresses for DR. BASSEL ERICSOUSSI (M.D.)
Hohman Avenue, Hammond, Lake County, Indiana, 46321, United States
HAMMOND, IN 463201936
Phone: (219) 853-7100
Fax: (219) 937-5958
Type: Location
761 45TH ST STE 108
MUNSTER, IN 463212899
Phone: (219) 922-5416
Fax: (219) 922-3745
Type: Location
1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
701 SUPERIOR AVE STE 4100
MUNSTER, IN 463214037
Phone: (219) 922-5416
Fax: (219) 922-3745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $765.
Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Ethicon Inc. ($393).
Total Amount
$765
General + Research + Ownership
Payments
11
Total payment records
General Amount
$765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $393 |
| Intuitive Surgical, Inc. | $226 |
| Pulmonx Corporation | $146 |
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: 2012-08-01
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120801000431 | I | Critical Care (Intensivists) | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,143 | 320 | $0 |
| 99291 | Critical care, first 30-74 minutes | 558 | 217 | $0 |
| 99497 | Advance care planning, first 30 minutes | 217 | 191 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 173 | 161 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 90 | $0 |
Insurance plans in this area (ZIP 46320)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | IN | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 13 | 13 |
| PULMONARY DISEASE | IN | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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