Individual provider Active NPI

Naheed Talat Bashir, M.D.

  • Pain Medicine Physician
  • Belleville, IL
National Provider Identifier
1245355916
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
261QP3300X Issued in IL
Practice address
1 Bronze Pointe
Ste 1a
Belleville, IL 62226-8305
Phone
(618) 233-7055
Fax
(618) 233-9055
NPI assigned
Mar 20, 2007
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 261QP3300X IL Primary

Addresses

Primary practice location

1 Bronze Pointe
Ste 1a
Belleville, IL 62226-8305

Mailing address

1 Bronze Pointe
Suite 1-a
Belleville, IL 62226-8305
Phone (618) 233-7055

Other identifiers 3

IdentifierTypeStateIssuer
036120409MedicaidIL
869795OtherILHEALTHLINK
8232343OtherILBCBS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20081023000272 IL Practitioner - Interventional Radiology 6800981648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Medicine LLCGroup PAC ID 0941368757, 4 clinicians

Practice addresses (Care Compare)

1 Bronze Pointe Blvd
Suite 1a
Swansea, IL 62226-1045
Phone (618) 233-7055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.81 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
79.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261QP3300XILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Medicine LLC Pain Medicine CurrentSince Jul 1, 2008 Accepting new patients
Moonlight Pediatrics LLC CurrentSince Aug 23, 2020 Accepting new patients
Abdul Naushad MD PC Pain Medicine PastSince Oct 1, 2018 Accepting new patients
Missouri Spine Associates, LLC PastSince Jan 14, 2013 Accepting new patients
Integrity Regional Pain Center LLC PastSince Jan 1, 2021 Accepting new patients

Locations

4112 N Water Tower Pl
Ste B
Mount Vernon, IL 62864
Phone (618) 315-6576

1 Bronze Pointe Blvd
Ste 1A
Swansea, IL 62226
Phone (216) 778-0808

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

Interoperability endpoints

  • Direct secure messaging: naheed.bashir@2395.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1245355916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE",
            "address_2": "SUITE 1-A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622268305",
            "telephone_number": "618-233-7055",
            "fax_number": "618-233-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE",
            "address_2": "STE 1A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622268305",
            "telephone_number": "618-233-7055",
            "fax_number": "618-233-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "NAHEED",
        "middle_name": "TALAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "261QP3300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120409",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "869795",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "8232343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.