Basel Moussa, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-071087 Issued in OH

Practice address

20997 Lorain Rd
Fairview Park, OH 44176

Phone

(440) 356-6666

Fax

(440) 356-6651

NPI assigned

Aug 31, 2006

Reactivated

Sep 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Hospital Hospital, Cleveland, OH, CCN 360077
• Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
• Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364

Merit-based Incentive Payment System (MIPS)

Final score

88.03 of 100Reported as group

Quality

88.79

Promoting interoperability

100

Improvement activities

40

Cost

54.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmoussa37263@ehrdirect.uhhospitals.org

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.

• Cardiovascular Medicine of Cleveland, LLC

  • Cardiovascular Disease Physician
  • Fairview Park, OH
  • NPI 1750483848
  Medicare reassignment NPD Authorized official
• Cardiovascular Imaging Associates, LLC

  • Nuclear Cardiology Physician
  • Fairview Park, OH
  • NPI 1376648683
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
  • NPI 1346607017
  Care Compare affiliation
• Fairview Hospital

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1215989611
  Care Compare affiliation
• Southwest General Health Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1154353993
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation
• University Hospitals St. John Medical Center

  • General Acute Care Hospital
  • Westlake, OH
  • NPI 1841264868
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1467563429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450615",
            "city": "WEST LAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-356-6666",
            "fax_number": "440-356-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20997 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44176",
            "telephone_number": "440-356-6666",
            "fax_number": "440-356-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "BASEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-07",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-071087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000152232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "522125821",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "522125821026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modern Chiropractic & Wellness,LLC
• David Molseed
• Frederick L Morey, DO
• Cassandra Morton, M.ED.
• Rafif Mousa, MD
• Thomas J. Mraz, PH.D.
• Nancy Mueller
• Felicia Munoz-Davenport
• Dinar Naserallah
• New Life Medical Center

• Specialist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.