Active NPI
Adel Bassily-Marcus, MD
- Critical Care Medicine (Internal Medicine) Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 78812
- Practice address
- 333 Cedar St
New Haven, CT 06510-3206 - Phone
- (203) 785-6610
- NPI assigned
- Feb 23, 2006
- Last updated
- Aug 29, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 78812 | CT | Primary |
| Surgical Critical Care Physician | 2086S0102X | 78812 | CT | |
| Surgical Critical Care Physician | 2086S0102X | 221499 | NY |
Addresses
Primary practice location
333 Cedar St
New Haven, CT 06510-3206
Mailing address
333 Cedar St
New Haven, CT 06510-3206
Phone (203) 785-6610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02393373 | Medicaid | CT | |
| 1326014119 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78812 | CT | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
Locations
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
5 E 98th St
Fl 14
New York, NY 10029
Phone (212) 241-7646
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yale Medicine
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
Single Specialty
-
dba Surgery Department of Mount Sinai School of Medicine
- Surgery Physician
- New York, NY
- NPI 1770823551
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
dba Critical Care Department of Mount Sinai
- Critical Care Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1215488127
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1326014119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-6610",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSILY-MARCUS",
"first_name": "ADEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2024-08-29",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "78812",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CT",
"license": "78812",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "221499",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02393373",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326014119",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.