Amaya Marie Basta, MD
Individual provider Active NPI Diagnostic Radiology Physician · Cleveland, OH
NPI 1457589699 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1457589699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- M13201 (ID)
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-6241 - Phone
- (866) 320-4573
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Hospital
Cleveland Clinic Health Services Professional Association, Inc
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
- Childrens Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ID, TX, VI, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115078 | CA | MD | Marriage & Family Therapist |
| M13201 | ID | MD | Diagnostic Radiology Physician |
| 340687 | LA | MD | Diagnostic Radiology Physician |
Practice roles (31 of 32)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Canyon Medical Center, Inc. | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Inverness Medical Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cleveland Clinic Health Services Professional Association, Inc | Current |
Accepting new patients | |
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Timberridge Imaging Center | Diagnostic Radiology | Current |
Accepting new patients |
| Cherokee Nation | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| St Thomas Radiology Associates LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Children'S Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Children'S Hospital | Current |
Accepting new patients | |
| Radiology Imaging Associates, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| North Canyon Medical Center Inc. | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Medical Imaging Center of Ocala LLP | Diagnostic Radiology | Current |
Accepting new patients |
| Ocala Health Imaging Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| General Hospital Corp | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past |
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) 265-6300
9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703
3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
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 (800) 349-7026
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
- basta.amaya.mgh@direct.partners.masshiway.net
- abasta297036@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 340687 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 115078 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | M13201 | ID | Yes |
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
Other providers in Cleveland, OH
- Michael Dale Bassett
- Elias Bassil
- Mark Bassim
- Bahar Bassiri Gharb
- Aria Bassiri
- Karim Basta
- Estella Bastian
- Evan J Basting
- John A Bastulli
- Nayara Cioffi Batagini
All providers in Cleveland, OH · Diagnostic Radiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.