Active NPI
Raed Basalat
- Land Ambulance
- Missouri City, TX
National Provider Identifier
1356018907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- 2440 Texas Pkwy Ste 340F
Missouri City, TX 77489-4073 - Phone
- (832) 807-0928
- NPI assigned
- Aug 23, 2021
- 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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2440 Texas Pkwy Ste 340F
Missouri City, TX 77489-4073
Mailing address
PO Box 570964
Houston, TX 77257-0964
Phone (832) 807-0928
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartans EMS LLC | Land Transport | Current | Accepting new patients |
Locations
2440 Texas Pkwy
Ste 340F
Missouri City, TX 77489
Phone (832) 807-0928
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1356018907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570964",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772570964",
"telephone_number": "832-807-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 TEXAS PKWY STE 340F",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774894073",
"telephone_number": "832-807-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASALAT",
"first_name": "RAED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-23",
"last_updated": "2021-10-27",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.