Emad Roshdy Bassaly, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Cumberland, RI
NPI 1508957200 · NPPES record last updated Apr 27, 2015
Key facts
- NPI
- 1508957200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- MD10521 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&B Anesthesia Associates, PC | Anesthesiology | Past |
Accepting new patients |
| Southcoast Hospitals Group Inc | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD10521 | RI | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0138967 | Medicaid | MA | |
| 110003241A | Medicaid | MA |
Other names
- Emad R Bassaly
Other providers in Cumberland, RI
- Kayla Margaret Babcock
- Kathleen Read Ballantyne
- Victoria Barr
- Barreto & Schwartz Psychology Associates PC Inc
- Paul Barry
- Bear Hill Village Apartments
- Behavioral Assessment and Skills Solutions, LLC
- Shannon Belseth
- Jorge Benavides
- Benedict J Ingegneri Jr DMD PC Inc
All providers in Cumberland, RI · Pain Medicine (Anesthesiology) Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.