NPIMap

Individual provider Active NPI

Basel Alhaddad, M.D.

  • Interventional Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1487741120
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
248285 Issued in NY
Practice address
466 Bay Ridge Ave
Brooklyn, NY 11220-5906
Phone
(718) 491-2003
Fax
(718) 491-2007
NPI assigned
Oct 6, 2006
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 248285 NY Primary

Addresses

Primary practice location

466 Bay Ridge Ave
Brooklyn, NY 11220-5906

Mailing address

8407 10TH Ave
Brooklyn, NY 11228-3201
Phone (347) 733-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000807 NY Practitioner - Internal Medicine 7810903812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 55TH St
Brooklyn, NY 11220-2559
Phone (347) 733-3255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002446NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Zavaro Medical PC CurrentSince Apr 9, 2023 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Alhaddad Physician Services CurrentSince May 17, 2015 Accepting new patients
Medical Director Services PC CurrentSince Jun 25, 2023 Accepting new patients
LMC Physician Services, PC Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
464 Bay Ridge Medical PLLC PastSince Sep 16, 2019 Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

1645 E 19th St
Brooklyn, NY 11229
Phone (718) 265-5858

413 50th St
Brooklyn, NY 11220
Phone (718) 492-6952

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (646) 288-2004

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

5606 15th Ave
Brooklyn, NY 11219
Phone (636) 236-2952

6700 3rd Ave
Brooklyn, NY 11220
Phone (718) 238-7000

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: balhaddad130457@nyumc.direct-ci.com
  • Direct secure messaging: baselalhaddad@mai.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1487741120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283201",
            "telephone_number": "347-733-3255",
            "fax_number": "718-491-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205906",
            "telephone_number": "718-491-2003",
            "fax_number": "718-491-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHADDAD",
        "first_name": "BASEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "248285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.