Individual provider Active NPI

James William Bass III, M.D.

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1003878042
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2844 Issued in TX
Practice address
1800 W. 1St St.
Suite 102
Elk City, OK 73644-2339
Phone
(580) 225-2515
Fax
(580) 303-5850
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2844 TX Primary
Family Medicine Physician 207Q00000X 31130 OK

Addresses

Primary practice location

1800 W. 1St St.
Suite 102
Elk City, OK 73644-2339

Mailing address

1800 W. 1St St.
Suite 102
Elk City, OK 73644-2339
Phone (580) 225-2515

Other identifiers 6

IdentifierTypeStateIssuer
8AG193OtherTXBCBS OF TEXAS
TIN PLUS 002OtherTXTRICARE LAKE PALESTINE LOCATION
514553OtherTXPHCS
TIN PLUS 029OtherTXTRICARE
75-2616977-001OtherTXTRICARE
121294606MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507001280 OK Practitioner - Family Practice 1759352594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

1800 W 1St St
Elk City, OK 73644-3133

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

1819 W 3Rd St
Great Plains Regional Medical Center
Elk City, OK 73644-5145
Phone (580) 225-2511

1901 W 3Rd St
Great Plains Regional Medical Center
Elk City, OK 73644-4337
Phone (580) 225-2511

Hospital & facility affiliations

  • Carter Healthcare of Central Oklahoma, LLC Home health agency, Oklahoma City, OK, CCN 377478
  • Lifespring Home Care of Sayre, LLC Home health agency, Sayre, OK, CCN 377219
  • Sunshine Home Care, Inc Home health agency, Altus, OK, CCN 377487
  • Great Plains Home Care Home health agency, Elk City, OK, CCN 377418
  • Elk City Comforting Hands Hospice LLC Hospice, Elk City, OK, CCN 371698
  • Traditions Health of Elk City Hospice, Elk City, OK, CCN 371583
  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Apr 1, 2015 Accepting new patients
Farmers Union Hospital Association CurrentSince Apr 1, 2015 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1800 W 1st St
Ste 102
Elk City, OK 73644
Phone (580) 225-2515

1901 W 3rd St
Elk City, OK 73644
Phone (580) 225-1086

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGGCA/Endpoint/CAGGCA
  • Direct secure messaging: james.bass@gprmc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1003878042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. 1ST ST.",
            "address_2": "SUITE 102",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442339",
            "telephone_number": "580-225-2515",
            "fax_number": "580-303-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. 1ST ST.",
            "address_2": "SUITE 102",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442339",
            "telephone_number": "580-225-2515",
            "fax_number": "580-303-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2844",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "31130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8AG193",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE LAKE PALESTINE LOCATION",
            "identifier": "TIN PLUS 002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "514553",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN PLUS 029",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121294606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.