Active NPI
Edgar B Bassig, MD
- Internal Medicine Physician
- Lockport, NY
National Provider Identifier
1205891306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 197593
- Practice address
- 5875 S Transit Rd
Lockport, NY 14094-6340 - Phone
- (716) 438-5510
- Fax
- (716) 438-5525
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 197593 | NY | Primary |
Addresses
Primary practice location
5875 S Transit Rd
Lockport, NY 14094-6340
Mailing address
6101 Robinson Road
Lockport, NY 14094
Phone (716) 625-9851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01555600 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120229000146 | NY | Practitioner - Internal Medicine | 8325952674 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Saint Louis University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crystal Springs Medical PC
Practice addresses (Care Compare)
6101 Robinson Rd
Lockport, NY 14094-8920
Phone (716) 625-9851
Hospital & facility affiliations
- Amedisys Home Health Care (Amherst)
- Vna of Western Ny Chha
- McAuley Seton Home Care Corp Chha
- Niagara Hospice Inc
- Mount St. Mary'S Hospital & Health Center
- Kaleida Health
- Niagara Falls Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1975931 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Springs Medical PC | Current | Accepting new patients |
Locations
5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730
6101 Robinson Rd
Lockport, NY 14094
Phone (716) 625-9851
Interoperability endpoints
- drbassig@csm.medentdirect.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 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1699772343
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
Hospital
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
Hospital
-
- Home Health Agency
- Williamsville, NY
- NPI 1730134529
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1205891306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 ROBINSON ROAD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-625-9851",
"fax_number": "716-625-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 S TRANSIT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946340",
"telephone_number": "716-438-5510",
"fax_number": "716-438-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSIG",
"first_name": "EDGAR",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "197593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01555600",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.