Individual provider Active NPI

Mohammed Muneer Basha, MD.

  • Internal Medicine Physician
  • Chiefland, FL
National Provider Identifier
1043312150
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME62122 Issued in FL
Practice address
410 N Main St Ste 1And2
Chiefland, FL 32626-0866
Phone
(352) 493-7274
Fax
(352) 496-9290
NPI assigned
Sep 1, 2006
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME62122 FL Primary

Addresses

Primary practice location

410 N Main St Ste 1And2
Chiefland, FL 32626-0866

Mailing address

10424 SW 8TH LN
Gainesville, FL 32607-6353
Phone (352) 332-4131

Other practice location 1

550 W Georgia St
Starke, FL 32091
Phone (904) 364-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190207001158 FL Practitioner - Internal MedicinePractitioner - Endocrinology 0244400448 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Jan 10, 2022 Accepting new patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

40083 Highway 27
Davenport, FL 33837

210 Southern Breeze Dr
Minneola, FL 34715

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1043312150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 SW 8TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076353",
            "telephone_number": "352-332-4131",
            "fax_number": "352-369-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST STE 1AND2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260866",
            "telephone_number": "352-493-7274",
            "fax_number": "352-496-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Georgia St",
            "address_purpose": "LOCATION",
            "city": "Starke",
            "state": "FL",
            "postal_code": "32091",
            "country_code": "US",
            "telephone_number": "904-364-2900",
            "fax_number": "904-364-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHA",
        "first_name": "MOHAMMED",
        "middle_name": "MUNEER",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

Verify at the official NPI Registry.