Individual provider Active NPI

Basem Kaleem Shlewiet, M.D.

  • Child & Adolescent Psychiatry Physician
  • Doylestown, PA
National Provider Identifier
1558452789
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD073753L Issued in PA
Practice address
16 N Franklin St
Suite 100
Doylestown, PA 18901-3536
Phone
(215) 345-8627
Fax
(215) 933-1414
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD073753L PA
Child & Adolescent Psychiatry Physician 2084P0804X MD073753L PA Primary

Addresses

Primary practice location

16 N Franklin St
Suite 100
Doylestown, PA 18901-3536

Mailing address

16 N Franklin St
Suite 100
Doylestown, PA 18901-3536
Phone (215) 345-8627

Other identifiers 2

IdentifierTypeStateIssuer
MD073753LOtherPAMEDICAL PHYSICIAN AND SUR
1017272700001MedicaidPA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073753LPAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1558452789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N FRANKLIN ST",
            "address_2": "SUITE 100",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013536",
            "telephone_number": "215-345-8627",
            "fax_number": "215-933-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N FRANKLIN ST",
            "address_2": "SUITE 100",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013536",
            "telephone_number": "215-345-8627",
            "fax_number": "215-933-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLEWIET",
        "first_name": "BASEM",
        "middle_name": "KALEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD073753L",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD073753L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PHYSICIAN AND SUR",
            "identifier": "MD073753L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017272700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.