NPIMap

Individual provider Active NPI

Bassem Morad Mostafa Elsawy, MD, CMD, AGSF, FAAFP

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1629016159
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4379 Issued in TX
Practice address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone
(214) 947-5400
Fax
(214) 947-5425
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X M4379 TX
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X M4379 TX
Family Medicine Physician 207Q00000X M4379 TX Primary

Addresses

Primary practice location

3500 W Wheatland Rd
Dallas, TX 75237-3460

Mailing address

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-5400

Other identifiers 5

IdentifierTypeStateIssuer
200453380MedicaidIN
75-2966610OtherTXFEIN
182868301MedicaidTX
156122701MedicaidTX
156122702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060914000420 TX Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 8123030392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9300 Lakeview Pkwy
Rowlett, TX 75088-4476
Phone (972) 475-4700

Hospital & facility affiliations

  • Acg Hospice Hospice, Richardson, TX, CCN 671758
  • Trinity Hospice Hospice, Garland, TX, CCN 741569
  • Rowlett Health and Rehabilitation Center Nursing home, Rowlett, TX, CCN 455904
  • Duncanville Healthcare and Rehabilitation Center Nursing home, Duncanville, TX, CCN 676178

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bassem Elsawy, MD PA Geriatric Medicine CurrentSince Jun 25, 2013 Accepting new patients
Physician Psych Services PLLC Past Accepting new patients
Modern Senior Living LLC Past Accepting new patients
Physician Senior Services, PLLC Family Medicine PastSince Mar 9, 2010 Accepting new patients
Dallas County Hospital District Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Physician Associates of Southwest Dallas Family Medicine Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Respiratory & Critical Care Consultants P C Past Accepting new patients

Locations

419 S Cockrell Hill Rd
Duncanville, TX 75116
Phone (410) 552-4800

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rowlett Health and Rehabilitation CenterRowlett, TX, CCN 455904 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025
Feb 1, 2025
Acg HospiceRichardson, TX, CCN 671758 Hospice Contracted Managing Employee Feb 19, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1629016159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-5400",
            "fax_number": "214-947-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFA ELSAWY",
        "first_name": "BASSEM",
        "middle_name": "MORAD",
        "name_prefix": "Dr.",
        "credential": "MD, CMD, AGSF, FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M4379",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M4379",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "75-2966610",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182868301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156122701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156122702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.