Individual provider Active NPI

Imad Shamsi Basha, M.D.

  • Pulmonary Disease Physician
  • Orlando, FL
National Provider Identifier
1275835845
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME141888 Issued in FL
Practice address
1900 Mercy Dr
Orlando, FL 32808-5612
Phone
(872) 231-3162
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME141888 FL Primary
Pulmonary Disease Physician 207RP1001X 35.065103 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301075324 MI

Addresses

Primary practice location

1900 Mercy Dr
Orlando, FL 32808-5612

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

Other practice location 1

2511 N John Young Pkwy
Kissimmee, FL 34741-1653
Phone (872) 231-3162

Other identifiers 1

IdentifierTypeStateIssuer
2313820MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20151002002007 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3577886365 Reassigns benefits to 1 organization
I20250604000553 FL Practitioner - Pulmonary Disease 3577886365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.31 of 100Reported as group
Quality
79.48
Promoting interoperability
71
Improvement activities
40
Cost
79.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075324MIMDCritical Care Medicine (Internal Medicine) Physician
35.065103OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh C. Patel, M.D., Inc. CurrentSince Jul 18, 2015 Accepting new patients
Rajesh C Patel MD Inc Pulmonary Disease CurrentSince Jul 18, 2015 Accepting new patients
Radial Health Southeast LLC CurrentSince Apr 30, 2025 Accepting new patients

Locations

2511 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 405-4985

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

1900 Mercy Dr
Orlando, FL 32808
Phone (407) 299-5404

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1301 Kansas Ave
Saint Cloud, FL 34769
Phone (407) 289-0530

9001 N Main St
Ste A
Dayton, OH 45415
Phone (937) 832-0990

Interoperability endpoints

  • Direct secure messaging: imad.basha@glacecentral.com

Organizations & group practices 3

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1275835845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MERCY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085612",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347411653",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHA",
        "first_name": "IMAD",
        "middle_name": "SHAMSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME141888",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.065103",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301075324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.