Active NPI
Bassam M.a. El-Borno, M.D.
- Child & Adolescent Psychiatry Physician
- Lancaster, PA
National Provider Identifier
1316030661
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.
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD042960E
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001263220 | Medicaid | PA |
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.
- 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
- David M Eisenberg, DC
- Lauren Rae Eisenhauer, PA
- Elizabeth Ann Eisenhofer, PHARMD
- Sarah Eiser, M.D.
- Arwa El Sayed
- Elderserve of Lancaster County, Inc. (Home Instead Senior Care, Inc.)
- Electrostim Medical Services, Inc (Emsi)
- Ifeoluwapo Ayodeji Eleyinafe, MD
- James Michael Elia, M.D.
- Elizabeth Esther Elias, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.