Individual provider Active NPI

Emad Roshdy Bassaly, MD

  • Pain Medicine (Anesthesiology) Physician
  • Cumberland, RI
National Provider Identifier
1508957200
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD10521 Issued in RI
Practice address
1725 Mendon Rd
Suite 203
Cumberland, RI 02864-4337
Phone
(401) 333-6100
Fax
(401) 333-6109
NPI assigned
Sep 27, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD10521 RI Primary
Anesthesiology Physician 207L00000X 46332 MA

Addresses

Primary practice location

1725 Mendon Rd
Suite 203
Cumberland, RI 02864-4337

Mailing address

197 Church Pond Drive
Tiverton, RI 02878
Phone (401) 624-1997

Other names 1

  • Emad R Bassaly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10521RIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group Inc Anesthesiology Past Accepting new patients
A&B Anesthesia Associates, PC Anesthesiology PastSince Oct 27, 2009 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1508957200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CHURCH POND DRIVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-624-1997",
            "fax_number": "401-624-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MENDON RD",
            "address_2": "SUITE 203",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644337",
            "telephone_number": "401-333-6100",
            "fax_number": "401-333-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSALY",
        "first_name": "EMAD",
        "middle_name": "ROSHDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "RI",
            "license": "MD10521",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "46332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMAD",
            "last_name": "BASSALY",
            "middle_name": "R",
            "credential": "MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.