Bela Rosa Bashar, MD
Individual provider Active NPI Infectious Disease Physician · Roxbury, MA
NPI 1003944604 · NPPES record last updated May 11, 2010
Key facts
- NPI
- 1003944604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 157683 (MA)
- Practice address
- 55 Dimock St
Dimock Community Health Center
Roxbury, MA 02119-1029 - Phone
- (617) 442-8800
- Fax
- (617) 541-8472
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dimock Community Health Center, Inc.
Practice addresses (Care Compare)
45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
- Dana-Farber Cancer Institute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000266 | MA | Practitioner - Internal Medicine |
0244360675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIHABA/Endpoint/BIHABA
- bela.bashar@tdc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 157683 | MA | |
| Infectious Disease Physician | 207RI0200X | 157683 | MA | Yes |
Addresses
Primary practice location
55 Dimock St
Dimock Community Health Center
Roxbury, MA 02119-1029
Mailing address
17 Baker Cir
Chestnut Hill, MA 02467-3203
Phone (617) 442-8800
Other providers in Roxbury, MA
- Rosalina Barros
- Elder Bartley
- Ricki Bartour
- Barwaqo Home Care LLC.
- Chaquita Bascom
- Chikia Ophelia Baskerville
- Carlos Batista
- Lynrabea Bean
- Kristen Monique Beard
- Marissa Bearse
All providers in Roxbury, MA · Infectious Disease Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.