Individual provider Active NPI

Mohammad Basit, M.D.

  • Pulmonary Disease Physician
  • Bronx, NY
National Provider Identifier
1295784445
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
199852 Issued in NY
Practice address
2951 Grand Concourse Apt 1a
Bronx, NY 10468-1431
Phone
(718) 220-4210
Fax
(718) 220-4235
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 6301200 NJ
Pulmonary Disease Physician 207RP1001X 199852 NY Primary

Addresses

Primary practice location

2951 Grand Concourse Apt 1a
Bronx, NY 10468-1431

Mailing address

12 Coe Farm Rd
Suffern, NY 10901-2910
Phone (718) 220-4210

Other identifiers 1

IdentifierTypeStateIssuer
01831772MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000107 NY Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 5496776726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2951 Grand Concourse
Apt 1a
Bronx, NY 10468-1431
Phone (718) 220-4210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301200NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernst, Sy and Menon Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBADCA/Endpoint/EBADCA
  • Direct secure messaging: mbasit965597@nychhc.direct-ci.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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1295784445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COE FARM RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012910",
            "telephone_number": "718-220-4210",
            "fax_number": "718-220-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 GRAND CONCOURSE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681431",
            "telephone_number": "718-220-4210",
            "fax_number": "718-220-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIT",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "6301200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "199852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01831772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.