Individual provider Active NPI

Isaac Bassan, M.D.

  • Gastroenterology Physician
  • Miami Beach, FL
National Provider Identifier
1497741318
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0038974 Issued in FL
Practice address
4302 Alton Rd
Suite # 850
Miami Beach, FL 33140-2891
Phone
(305) 532-2999
Fax
(305) 672-4803
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0038974 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite # 850
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite # 850
Miami Beach, FL 33140-2891
Phone (305) 532-2999

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
I20120718000131 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 1759444284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bassan and Bloom M D S P LGroup PAC ID 3173788015, 3 clinicians

Practice addresses (Care Compare)

1701 NE 164TH St
Suite 304
North Miami Beach, FL 33162-4018
Phone (305) 532-2999

4308 Alton Rd
Suite 830
Miami Beach, FL 33140-4558
Phone (305) 532-2999

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038974FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bassan & Bloom M D S P L Gastroenterology CurrentSince Mar 1, 2001 Accepting new patients
Venture Gastroenterology LLC Gastroenterology Past Accepting new patients

Locations

4302 Alton Rd
Ste 850
Miami Beach, FL 33140
Phone (305) 532-2999

1701 NE 164th St
Ste 304
North Miami Beach, FL 33162
Phone (305) 532-2999

Organizations & group practices 2

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 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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1497741318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE # 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-532-2999",
            "fax_number": "305-672-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE # 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-532-2999",
            "fax_number": "305-672-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSAN",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0038974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.