Basiouni Basiouni, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · San Juan, TX
NPI 1245499136 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1245499136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- N1543 (TX)
- Practice address
- 801 W 1St St
San Juan, TX 78589-2276 - Phone
- (956) 787-8915
- Fax
- (956) 787-2021
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in NY, TX, VA, DE, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080815000006 | NY | Practitioner - Obstetrics/Gynecology | 4587739222 | Reassigns benefits to 2 organizations |
| I20090512000449 | TX | Practitioner - Obstetrics/Gynecology |
4587739222 | Reassigns benefits to 2 organizations |
| I20221026002953 | VA | Practitioner - Obstetrics/Gynecology | 4587739222 | Reassigns benefits to 1 organization |
| I20230109002917 | DE | Practitioner - Obstetrics/Gynecology | 4587739222 | Reassigns benefits to 2 organizations |
| I20240220000312 | DC | Practitioner - Obstetrics/Gynecology | 4587739222 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1543 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Delaware, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| OBGYN Hospitalist Medical Services of New York, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| MVHS Inc | Current |
Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| MVHS Inc | Family Medicine | Current |
Accepting new patients |
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc. | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Past | Accepting new patients | |
| Tidalhealth Nanticoke, Inc | Family Medicine | Past | Accepting new patients |
| Tyler Family Circle of Care | Past |
Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
Interoperability endpoints
- bbasiouni14946@mvhealthsystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N1543 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | C2-0024194 | DE | |
| Obstetrics & Gynecology Physician | 207V00000X | N1543 | TX | Yes |
Addresses
Primary practice location
801 W 1St St
San Juan, TX 78589-2276
Mailing address
801 W 1St St
San Juan, TX 78589-2276
Phone (956) 787-8915
Other practice location 1
801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202768203 | Medicaid | TX |
Other names
- Mr. Basiouni Basiouni
Other providers in San Juan, TX
- Baca Family Practice PLLC
- Americo M Baca
- Thomas Boake Ball
- Carlos Eduardo Ballesteros
- Jaqueline Aide Barrera
- Behavioral and Consultant Nurses of South Texas LLC
- Bella Vida DME , LLC.
- Diana Marilyn Beltran
- Franklin Beltre
- Marisol D. Benavidez
All providers in San Juan, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.