Individual provider Active NPI

Apram Basra, D.O

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1376787606
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
FB4598415 Issued in TX
Practice address
900 Matisse Dr Apt 4001
Fort Worth, TX 76107-2483
Phone
(972) 822-5885
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101017929 MI
Surgery Physician 208600000X 5315037173 MI
Surgery Physician 208600000X 5101017929 MI
Emergency Medicine Physician 207P00000X FB4598415 TX Primary

Addresses

Primary practice location

900 Matisse Dr Apt 4001
Fort Worth, TX 76107-2483

Mailing address

900 Matisse Dr Apt 4001
Fort Worth, TX 76107-2483
Phone (972) 822-5885

Other identifiers 1

IdentifierTypeStateIssuer
P22027OtherTXEMPLOYEE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171219001682 CA Practitioner - Emergency Medicine 1355593765 Reassigns benefits to 3 organizations
I20220302002300 NC Practitioner - Emergency Medicine 1355593765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

3536 Mt Holly Huntersville Rd
Charlotte, NC 28216-8644
Phone (336) 716-2255

Hospital & facility affiliations

  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5315037173MIMDSurgery Physician
14366CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Associates Fremont PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Wake Forest Emergency Providers CurrentSince Feb 28, 2022 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3536 Mt Holly Huntersville Rd
Charlotte, NC 28216
Phone (704) 801-6500

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266

Interoperability endpoints

  • Direct secure messaging: abasra155513@santaclaravalley.direct-ci.net
  • Direct secure messaging: abasra832752@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1376787606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MATISSE DR APT 4001",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072483",
            "telephone_number": "972-822-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MATISSE DR APT 4001",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072483",
            "telephone_number": "972-822-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRA",
        "first_name": "APRAM",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101017929",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5315037173",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017929",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "FB4598415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID",
            "identifier": "P22027",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.