MR. HUMAM BASSAM KAKISH (M.D.) – Vascular Surgery Physician, NPI 1730177114
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
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Provider Addresses for MR. HUMAM BASSAM KAKISH (M.D.)
Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States
SUITE 408
DALLAS, TX 752314482
Phone: (469) 547-1142
Fax: (469) 547-1162
Type: Mailing
7515 GREENVILLE AVE STE 706
DALLAS, TX 752313885
Phone: (469) 547-1142
Fax: (469) 547-1162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $478.
Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.
Last reported payment date: 2023-08-24 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($413).
Total Amount
$478
General + Research + Ownership
Payments
5
Total payment records
General Amount
$478
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $413 |
| Penumbra, Inc. | $36 |
| AngioDynamics, Inc. | $29 |
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: 2010-05-18
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 |
|---|---|---|---|---|
| I20100518000401 | I | Vascular Surgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 385 | 353 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 250 | 231 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 143 | 139 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 141 | 114 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 117 | 104 | $0 |
Insurance plans in this area (ZIP 75231)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 44 | 36 |
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