Individual provider Active NPI

Bassam M.a. El-Borno, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1316030661
Registry record updated May 20, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD042960E Issued in PA
Practice address
160 N Pointe Blvd
Suite 204
Lancaster, PA 17601-4134
Phone
(717) 560-5600
Fax
(717) 560-5955
NPI assigned
Oct 1, 2006
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD042960E PA Primary

Addresses

Primary practice location

160 N Pointe Blvd
Suite 204
Lancaster, PA 17601-4134

Mailing address

1051 Bluestone Dr
Lititz, PA 17543-6900
Phone (717) 560-9811

Other identifiers 1

IdentifierTypeStateIssuer
001263220MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1316030661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BLUESTONE DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175436900",
            "telephone_number": "717-560-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 204",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-560-5600",
            "fax_number": "717-560-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-BORNO",
        "first_name": "BASSAM",
        "middle_name": "M.A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD042960E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001263220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.