Mohammed Muneer Basha, MD.
Individual provider Active NPI Internal Medicine Physician · Chiefland, FL
NPI 1043312150 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1043312150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME62122 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20190207001158 | FL | Practitioner - Internal Medicine |
0244400448 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Florida Hospital Specialists PA | Internal Medicine | Current |
Accepting new patients |
| VMD Primary Providers Central Florida PLLC | Internal Medicine | Current |
Accepting new patients |
| Lina L Feaster PA | Past |
Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Internal Medicine | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME62122 | FL | Yes |
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
Other providers in Chiefland, FL
- Amazing Grace Primary Care, LLC
- Avery Partners, Inc
- Avery Partners, Inc
- Matthew Barber
- Meagan Jane Barnette
- Caroline Beard
- Erika Beck
- Jessica Bencsik
- Bennitt Patterson PA
- Chirstie Biggs
All providers in Chiefland, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.