MEDICARE: THAMER KASSIM M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD45497	IA
2	207RG0100X	Gastroenterology Physician	31802	NE
3	207RG0100X	Gastroenterology Physician	04-52148	KS
4	207RG0100X	Gastroenterology Physician	2023021293	MO

General Provider Information

NPI Number	:	1518410091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAMER KASSIM M.D

Provider Business Mailing Address
First Line	:	7500 MERCY RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2319
Country	:	US
Telephone Number	:	855-524-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 N 30TH ST DEPT OF
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-2128
Country	:	US
Telephone Number	:	402-717-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	02/04/2026

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Directions to “ THAMER KASSIM M.D” Practice Location

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