Bassam M Zahlan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A45996 Issued in CA

Practice address

1045 Atlantic Ave
Suite 105
Long Beach, CA 90813

Phone

(562) 491-9167

Fax

(562) 491-7969

NPI assigned

Jun 6, 2006

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA, FL, DC3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reza Shahbaz MD IncGroup PAC ID 6800209180, 10 clinicians

Coastal Imaging and Intervention IncGroup PAC ID 4486178332, 9 clinicians

Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians

KC Tan MD Medical CorporationGroup PAC ID 2062719719, 23 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• College Medical Center Hospital, Long Beach, CA, CCN 050776
• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
• HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
• Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 49)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: bzahlan1158561@direct.hfhs.org

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.

• Coastal Imaging and Intervention Inc

  • Vascular & Interventional Radiology Physician
  • Anaheim, CA
  • NPI 1528860459

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• KC Tan, M.D. Medical Corporation

  • Neuroradiology Physician
  • Monterey Park, CA
  • NPI 1215394036

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Reza Shahbaz MD Inc

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1730791864
  Medicare reassignment Care Compare group NPD
• Blackwell Physicians, LLC

  dba AHC Imaging

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589

  DC

  Medicare reassignment Care Compare group NPD
• Eastpointe Radiologists, P.C.

  dba Grosse Pointe Physicians Xray Center, PC

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1881642056

  CA

  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  CA

  Medicare reassignment Care Compare group NPD
• Professional Services of Holy Cross

  • Health Service Clinic/Center
  • Silver Spring, MD
  • NPI 1487692828

  DC

  Medicare reassignment Care Compare group NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931
  Medicare reassignment NPD
• Adventist Physician Services, Inc.

  dba Adventist Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC

  Medicare reassignment NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  CA

  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD
• Nchmd, Inc

  • Durable Medical Equipment & Medical Supplies
  • Naples, FL
  • NPI 1033904651
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Anaheim Regional Medical

  dba AHMC Anaheim Regional Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation
• CHLB, LLC

  dba College Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  Care Compare affiliation
• Holy Cross Health, Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  Care Compare affiliation
• Holy Cross Health, Inc.

  dba Holy Cross Health Lab Outreach

  • Clinical Medical Laboratory
  • Silver Spring, MD
  • NPI 1831574284

  Hospital

  Care Compare affiliation
• Putnam Community Medical Center of North Florida, LLC

  dba HCA Florida Putnam Hospital

  • General Acute Care Hospital
  • Palatka, FL
  • NPI 1487045100
  Care Compare affiliation
• Sebring Health Services, LLC

  dba HCA Florida Highlands Hospital

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1346289220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9167",
            "fax_number": "562-491-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-491-9167",
            "fax_number": "562-491-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHLAN",
        "first_name": "BASSAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45996",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A45996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/LEGACY-COMMUNITY HOSP",
            "identifier": "HW8412B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST MARYS PTAN",
            "identifier": "HW881",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A459960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/LEGACY PACIFIC HOSP",
            "identifier": "HW8412A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "HW8412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.

Verify at the official NPI Registry.