Individual provider Active NPI

Mohamed Ahmed Bassiouny, MD

  • Clinical Cardiac Electrophysiology Physician
  • Austin, TX
National Provider Identifier
1174757892
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
R7952 Issued in TX
Practice address
3000 N. Ih-35, Suite 700
Austin, TX 78705
Phone
(512) 807-3150
Fax
(512) 458-7879
NPI assigned
May 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R7952 TX
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Cardiac Electrophysiology Physician 207RC0001X R7952 TX Primary

Addresses

Primary practice location

3000 N. Ih-35, Suite 700
Austin, TX 78705

Mailing address

3000 N. Ih-35, Suite 700
Austin, TX 78705
Phone (512) 807-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181227001378 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5395080048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expressway
North Austin Med Ctr
Austin, TX 78758-2401
Phone (512) 901-4001

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4001

1512 Stone Hill Dr
Suite 100
Pflugerville, TX 78660-7602
Phone (512) 334-8999

16030 Park Valley Dr
Suite 201
Round Rock, TX 78681-3647
Phone (737) 931-1100

1900 Scenic Dr
Georgetown, TX 78626-7876

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

3801 N Lamar Blvd
Austin, TX 78756-4080

505 Saint Davids Loop
Suite 315
Leander, TX 78641-5225
Phone (737) 843-7563

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 447-2211

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Aug 9, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3000 Ih 35 N
Ste 700
Austin, TX 78681
Phone (512) 807-3157

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

3000 N Interstate 35
Ste 700
Austin, TX 78705
Phone (512) 544-2342

3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

16030 Park Valley Dr
Ste 201
Round Rock, TX 78681
Phone (512) 518-4673

Interoperability endpoints

  • Direct secure messaging: 2040-bassiouny-mohamed@direct.leadingreach.com
  • Direct secure messaging: 7934-bassiouny-mohamed@direct.leadingreach.com

Organizations & group practices 1

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 5

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1174757892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N. IH-35, SUITE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-807-3150",
            "fax_number": "512-458-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N. IH-35, SUITE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-807-3150",
            "fax_number": "512-458-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSIOUNY",
        "first_name": "MOHAMED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R7952",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "R7952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.