Individual provider Active NPI

Rami Basatneh, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mesquite, TX
National Provider Identifier
1639734296
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3136 Issued in TX
Practice address
1320 N Galloway Ave Ste 105
Mesquite, TX 75149-2461
Phone
(214) 550-2099
Fax
(214) 550-2099
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3136 TX Primary

Addresses

Primary practice location

1320 N Galloway Ave Ste 105
Mesquite, TX 75149-2461

Mailing address

1320 N Galloway Ave Ste 105
Mesquite, TX 75149-2461
Phone (214) 550-2099

Other identifiers 1

IdentifierTypeStateIssuer
3136OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002574 TX Practitioner - Podiatry 8729313283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Motion Foot and Ankle Institute PLLCGroup PAC ID 2860876596, 4 clinicians

Practice addresses (Care Compare)

1320 N Galloway Ave
Suite 105
Mesquite, TX 75149-2461
Phone (972) 853-9400

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue28
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3136TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Foot & Ankle Institute, PLLC Foot & Ankle Surgery CurrentSince Aug 17, 2022 Accepting new patients
Dallas Lung Care PastSince Jul 1, 2022 Accepting new patients

Locations

1320 N Galloway Ave
Ste 105
Mesquite, TX 75149
Phone (214) 550-2099

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 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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1639734296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "214-550-2099",
            "fax_number": "214-550-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "214-550-2099",
            "fax_number": "214-550-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASATNEH",
        "first_name": "RAMI",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.