Individual provider Active NPI

Anisha Bassi, M.D.

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1154616878
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D77505 Issued in MD
Practice address
325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5860
Phone
(410) 863-8860
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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 D77505 MD Primary

Addresses

Primary practice location

325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5860

Mailing address

325 Hospital Dr
Suite 201
Glen Burnie, MD 21061-5860
Phone (410) 863-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140813001781 MD Practitioner - Internal Medicine 4385871979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Medical Associates, PAGroup PAC ID 6800013970, 2 clinicians

Practice addresses (Care Compare)

325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5806
Phone (410) 863-8860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D77505MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 10, 2014 Accepting new patients
Chesapeake Medical Associates, P.a. Internal Medicine CurrentSince Jun 11, 2014 Accepting new patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Jul 10, 2014 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients
Cardiovascular Diagnostic Center, PA Past Accepting new patients

Locations

2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

325 Hospital Dr
Ste 108
Glen Burnie, MD 21061
Phone (240) 678-7309

325 Hospital Dr
Ste 201
Glen Burnie, MD 21061
Phone (401) 766-1370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJEAD/Endpoint/ACJEAD
  • Direct secure messaging: abassi102466@direct.umm.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJEAD

Organizations & group practices 7

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 7

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1154616878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615860",
            "telephone_number": "410-863-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615860",
            "telephone_number": "410-863-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSI",
        "first_name": "ANISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D77505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.