Troy Bassiri, MD
Individual provider Active NPI Family Medicine Physician · Hoopa, CA
NPI 1316475643 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1316475643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A188536 (CA)
- Practice address
- 535 Airport Rd
Hoopa, CA 95546-9615 - Phone
- (530) 625-4261
- Fax
- (530) 625-5171
- NPI assigned
- May 31, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kima-W Medical Center
Practice addresses (Care Compare)
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20230925002432 | CA | Practitioner - Family Practice | 3870861255 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A188536 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Current |
Accepting new patients | |
| K'Ima:W Medical Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S5841 | TX | |
| Family Medicine Physician | 207Q00000X | A188536 | CA | Yes |
Addresses
Primary practice location
535 Airport Rd
Hoopa, CA 95546-9615
Mailing address
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
Other providers in Hoopa, CA
All providers in Hoopa, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. 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.