BASSAM I MATTAR (MD) – Hematology & Oncology Physician, NPI 1053372649

BASSAM I MATTAR (MD) is a healthcare provider. based in Kingman, Kansas. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 0427872 (KS). The NPI Number for BASSAM I MATTAR (MD) is 1053372649

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
BASSAM I MATTAR (MD)
NPI
1053372649
Phone
(620) 532-0162
Address
750 W D Ave
Enumeration Date
31 March 2006
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162624467
Graduation Year
1993 (33 years ago)
PAC ID
8224074166
Group Practice PAC ID
5395732820
Professional Enrollment ID
I20050630001023
Address ID
KS672143728WI818XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

125 HEMATOLOGY/ONCOLOGY in KS

Provider Addresses for BASSAM I MATTAR (MD)

  • 750 W D Ave

    Kingman, KS 670681266

    Phone: (620) 532-0162

    Fax: (620) 532-2281

    Type: Location

  • 720 Medical Center Dr

    Newton, KS 671148778

    Phone: (316) 282-0888

    Fax: (316) 282-0886

    Type: Location

  • North Emporia Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States

    SUITE 403

    WICHITA, KS 672143729

    Phone: (316) 262-4467

    Fax: (316) 262-0706

    Type: Location

  • 818 N EMPORIA ST STE 403

    WICHITA, KS 672143728

    Phone: (316) 262-4467

    Fax: (316) 262-3762

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 451 Open Payments records for all available years, with a total value of $113,221.

Total Amount is formed as General ($113,221) + Research ($0) + Ownership ($0) = $113,221.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($46,582).

Total Amount

$113,221

General + Research + Ownership

Payments

451

Total payment records

General Amount

$113,221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-06-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050630001023IHematology/OncologyKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q5110Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram122,34055$0
J1439Injection, ferric carboxymaltose, 1 mg67,50049$0
J0185Injection, aprepitant, 1 mg41,99089$0
J9299Injection, nivolumab, 1 mg39,78028$0
J0897Injection, denosumab, 1 mg39,660112$0
View full utilization report →

Insurance plans in this area (ZIP 67068)

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Provider's Procedures

BASSAM I MATTAR (MD) performs procedures in HEMATOLOGY/ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYKS71250CT scan chest5230
HEMATOLOGY/ONCOLOGYKS78815Nuclear medicine study with CT imaging skull base to mid-thigh252198
HEMATOLOGY/ONCOLOGYKS85610Blood test, clotting time10719
HEMATOLOGY/ONCOLOGYKS96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour612150
HEMATOLOGY/ONCOLOGYKS96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention1607213
HEMATOLOGY/ONCOLOGYKS96415Infusion of chemotherapy into a vein469125

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: 5395732820View full group profile
NameSpecialtyState
Internal MedicineTX
H E M A T O L O G Y/ O N C O L O G YKS
G A S T R O E N T E R O L O G YKS
Family PracticeKS
-KS
-KS
-KS
Nurse PractitionerKS
Nurse PractitionerKS
H E M A T O L O G Y/ O N C O L O G YMN

Reviews

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Frequently asked questions

What NPI should I save for BASSAM I MATTAR (MD)?
Save NPI 1053372649 if you need a stable reference for BASSAM I MATTAR (MD).
Does this profile mean BASSAM I MATTAR (MD) is currently active?
Yes — BASSAM I MATTAR (MD) appears active in the national provider directory.
Does BASSAM I MATTAR (MD) list a primary specialty?
If you are matching referrals, note Hematology & Oncology Physician for BASSAM I MATTAR (MD). Clinical services aligned with this taxonomy classification.
Where is BASSAM I MATTAR (MD)'s primary listing?
We display Kingman, Kansas because that is what the record indicates for BASSAM I MATTAR (MD).
How can I contact BASSAM I MATTAR (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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