Active NPI
Basem Kaleem Shlewiet, M.D.
- Child & Adolescent Psychiatry Physician
- Doylestown, PA
National Provider Identifier
1558452789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD073753L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD073753L | Other | PA | MEDICAL PHYSICIAN AND SUR |
| 1017272700001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD073753L | PA | MD | Child & 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.