Individual provider Active NPI

Yahya Mossa-Basha, M.D.

  • Diagnostic Radiology Physician
  • Royal Oak, MI
National Provider Identifier
1386790004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301037035 Issued in MI
Practice address
4045 W 13 Mile Rd
Royal Oak, MI 48073-6640
Phone
(248) 435-8066
Fax
(248) 435-8099
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301037035 MI Primary

Addresses

Primary practice location

4045 W 13 Mile Rd
Royal Oak, MI 48073-6640

Mailing address

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0987
Phone (248) 288-1600

Other identifiers 1

IdentifierTypeStateIssuer
1969939MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040324000747 MI Practitioner - Diagnostic Radiology 5395631253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians

Practice addresses (Care Compare)

13753 19 Mile Rd
Sterling HTS, MI 48313-2703
Phone (586) 566-8680

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

4407 Roemer St
Dearborn, MI 48126-3405
Phone (313) 584-0768

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Feb 1, 1993 Accepting new patients

Locations

4045 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 288-2160

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386790004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "address_2": "SUITE LL",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-288-1600",
            "fax_number": "248-288-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736640",
            "telephone_number": "248-435-8066",
            "fax_number": "248-435-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSA-BASHA",
        "first_name": "YAHYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301037035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969939",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.