Individual provider Active NPI

Shari Elizabeth Bass, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1225215395
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S0843 Issued in TX
Practice address
3801 Gaston Ave Ste 303
Dallas, TX 75246-2533
Phone
(469) 677-0911
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S0843 TX Primary

Addresses

Primary practice location

3801 Gaston Ave Ste 303
Dallas, TX 75246-2533

Mailing address

539 W Commerce St # 3156
Dallas, TX 75208-1953
Phone (469) 677-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080811000372 MI Practitioner - Pediatric Medicine 9931273877 Reassigns benefits to 1 organization
I20190517000151 TX Practitioner - Pediatric Medicine 9931273877

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Jul 21, 2017 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jul 21, 2017 Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients
Botsford General Hospital Pediatrics Past Accepting new patients
Stephen Becker PastSince Mar 1, 2021 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

Interoperability endpoints

  • Direct secure messaging: sbass61058@direct.hfhs.org
  • Direct secure messaging: sbass193603@christushealth.direct-ci.net
  • Direct secure messaging: drbass@woodhavenpeds.opdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1225215395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 3156",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "469-677-0911",
            "fax_number": "469-677-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462533",
            "telephone_number": "469-677-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "SHARI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S0843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.