Individual provider Active NPI

Irum Basar, MD

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1386682326
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0056226 Issued in CO
Practice address
1250 E Cliff Dr
Suite 2a
El Paso, TX 79902-4850
Phone
(915) 577-7951
Fax
(915) 577-7952
NPI assigned
Jun 3, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P0004 TX
Neurology Physician 2084N0400X 200901701 NC
Neurology Physician 2084N0400X DR.0056226 CO Primary
Neurology Physician 2084N0400X 48242 MN

Addresses

Primary practice location

1250 E Cliff Dr
Suite 2a
El Paso, TX 79902-4850

Mailing address

1250 E Cliff Dr
Suite 2a
El Paso, TX 79902-4850
Phone (915) 577-7951

Other practice location 1

1375 E 20th Ave
Denver, CO 80205-5422
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
79780091MedicaidCO
028973OtherCOKSISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140517000087 TX Practitioner - Neurology 3577579770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056226COMDNeurology Physician
200901701NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince May 1, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

12500 Dallas Pkwy
Frisco, TX 75033
Phone (469) 604-9000

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1386682326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR",
            "address_2": "SUITE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-577-7951",
            "fax_number": "915-577-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR",
            "address_2": "SUITE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-577-7951",
            "fax_number": "915-577-7952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055422",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASAR",
        "first_name": "IRUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P0004",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200901701",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0056226",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "48242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79780091",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSISER COMMERCIAL NUMBER",
            "identifier": "028973",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.