Individual provider Active NPI

Amaya Marie Basta, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1457589699
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M13201 Issued in ID
Practice address
9500 Euclid Ave
Cleveland, OH 44195-6241
Phone
(866) 320-4573
NPI assigned
Jun 25, 2009
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 340687 LA
Diagnostic Radiology Physician 2085R0202X 115078 CA
Diagnostic Radiology Physician 2085R0202X M13201 ID Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-6241

Mailing address

64 Homestead Dr
Boise, ID 83716-3018
Phone (206) 484-0907

Other practice location 1

202 Ethan Way
Idaho City, ID 83631-5015
Phone (206) 484-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX, VI, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160630001463 ID Practitioner - Diagnostic Radiology 0042434524 Reassigns benefits to 4 organizations
I20220118001954 TX Practitioner - Diagnostic Radiology 0042434524 Reassigns benefits to 6 organizations
I20240106000143 VI Practitioner - Diagnostic Radiology 0042434524 Reassigns benefits to 1 organization
I20240718001694 LA Practitioner - Diagnostic Radiology 0042434524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children's HospitalGroup PAC ID 3971401944, 35 clinicians

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511

64 Homestead Dr
Boise, ID 83716-3018
Phone (206) 484-0907

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115078CAMDMarriage & Family Therapist
M13201IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 12, 2023 Accepting new patients
Cherokee Nation CurrentSince Dec 1, 2021 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Children's Hospital Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Cherokee Nation CurrentSince Dec 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Laguna Healthcare Corporation CurrentSince Oct 23, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 21, 2021 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 21, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 10, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
Children's Hospital CurrentSince Jun 1, 2024 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Oct 1, 2019 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince May 15, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Laguna Healthcare Corporation CurrentSince Oct 23, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

829 Barataria Blvd
Marrero, LA 70072
Phone (504) 347-4537

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8400

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abasta297036@direct.tgh.org
  • Direct secure messaging: basta.amaya.mgh@direct.partners.masshiway.net
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 32

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.

View all 32

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1457589699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HOMESTEAD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837163018",
            "telephone_number": "206-484-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441956241",
            "telephone_number": "866-320-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Ethan Way",
            "address_purpose": "LOCATION",
            "city": "Idaho City",
            "state": "ID",
            "postal_code": "836315015",
            "country_code": "US",
            "telephone_number": "206-484-0907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTA",
        "first_name": "AMAYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "340687",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "115078",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M13201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.