NPIMap

Individual provider Active NPI

Basharat Ali, M.D.

  • Specialist
  • Sanborn, NY
National Provider Identifier
1508930983
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
204468 Issued in NY
Practice address
3850 Saunders Settlement Rd
Sanborn, NY 14132-9128
Phone
(716) 898-2800
Fax
(716) 898-2805
NPI assigned
Nov 20, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 204468 NY Primary

Addresses

Primary practice location

3850 Saunders Settlement Rd
Sanborn, NY 14132-9128

Mailing address

3085 Harlem Rd
Suite 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600

Other identifiers 3

IdentifierTypeStateIssuer
2510925OtherNYIH
000525098006OtherNYBCBS
02010979MedicaidNY

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
I20040615001725 NY Practitioner - NephrologyPractitioner - Internal Medicine 1254315468 Reassigns benefits to 2 organizations
Practice locations: Getzville, NY

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3469 Harlem Rd
Cheektowaga, NY 14225-2001
Phone (716) 836-0016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 15, 2015 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York CurrentSince Jul 15, 2015 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Basharat Ali Medical PC Specialist CurrentSince Oct 8, 2016 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Organizations & group practices 5

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 6

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1508930983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD",
            "address_2": "SUITE 350",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5600",
            "fax_number": "716-844-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SAUNDERS SETTLEMENT RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329128",
            "telephone_number": "716-898-2800",
            "fax_number": "716-898-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "BASHARAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "204468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IH",
            "identifier": "2510925",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000525098006",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, NY

Sources for this page

Verify at the official NPI Registry.