Individual provider Active NPI

Basel Al Aloul, MD, DO, MB, BCH

  • Interventional Cardiology Physician
  • The Villages, FL
National Provider Identifier
1427256643
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME 120823 Issued in FL
Practice address
1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1762
Phone
(352) 633-1966
Fax
(352) 633-1969
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X ME 120823 FL Primary

Addresses

Primary practice location

1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1762

Mailing address

1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1762
Phone (352) 633-1966

Other identifiers 2

IdentifierTypeStateIssuer
013291300MedicaidFL
ME120823OtherFLFL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140908000205 FL Practitioner - Cardiovascular Disease (Cardiology) 5991953341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac and Vascular Consultants MD PAGroup PAC ID 0345427019, 13 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1762
Phone (352) 633-1966

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 120823FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac and Vascular Consultants MD PA CurrentSince Jul 10, 2014 Accepting new patients

Locations

510 Highway 466
Ste 105
Lady Lake, FL 32159
Phone (352) 633-7502

4224 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 513-3482

709 Physicians Ct
Leesburg, FL 34748
Phone (352) 728-2999

17190 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 268-0003

1050 Old Camp Rd
Ste 270
The Villages, FL 32162
Phone (352) 552-4648

4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: balaloul553791@direct.shands.ufl.edu

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.

Hospital & facility affiliations 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1427256643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD",
            "address_2": "SUITE 270",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-633-1966",
            "fax_number": "352-633-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD",
            "address_2": "SUITE 270",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-633-1966",
            "fax_number": "352-633-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL ALOUL",
        "first_name": "BASEL",
        "credential": "MD, DO, MB, BCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME 120823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013291300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "ME120823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.