Active NPI
Bassi Clinic PLLC
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BASSI CLINIC PLLC
- Practice address
- 11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607 - Phone
- (602) 354-3311
- NPI assigned
- Oct 9, 2020
- Last updated
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tarun Bassi
- Title
- Owner/Authorized Official
- Phone
- (646) 352-2619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607
Mailing address
11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tarun@bassiclinic.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2230312 | Bassi Clinic | Certificate of waiver | Jul 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
14175 W Indian School Rd
Ste B4139
Goodyear, AZ 85395
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1538277587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1376141598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 N TATUM BLVD STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 N TATUM BLVD STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281607",
"telephone_number": "602-354-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASSI CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A",
"authorized_official_last_name": "BASSI",
"authorized_official_first_name": "TARUN",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "646-352-2619"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tarun@bassiclinic.com",
"affiliation": "N",
"address_1": "11110 N Tatum Blvd Ste 103",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850281607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.