Cindy Baseluos, M.D.
Individual provider Active NPI Emergency Medicine Physician · Staten Island, NY
NPI 1679769715 · NPPES record last updated Feb 15, 2011
Key facts
- NPI
- 1679769715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 257249 (NY)
- Practice address
- 355 Bard Ave
Rumc - Department of Emergency Medicine
Staten Island, NY 10310-1664 - Phone
- (718) 818-2995
- Fax
- (718) 818-2995
- NPI assigned
- Sep 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rutgers, Robert Woood Johnson Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tele911 California Emergency Medical Group Inc
Tele911 Texas Emergency Medical Group PLLC
Fpa Hospital Based
Practice addresses (Care Compare)
13950 Milton Ave
Suite 400H
Westminster, CA 92683-2939
Phone (888) 777-9055
325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (888) 777-9055
355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1015
Hospital & facility affiliations
- Richmond University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NY, TX, CA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100918000188 | NY | Practitioner - Emergency Medicine | 4284759994 | Reassigns benefits to 1 organization |
| I20250326004169 | TX | Practitioner - Emergency Medicine | 4284759994 | Reassigns benefits to 1 organization |
| I20250722002919 | CA | Practitioner - Emergency Medicine | 4284759994 | Reassigns benefits to 1 organization |
| I20250828003553 | MD | Practitioner - Emergency Medicine | 4284759994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257249 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current |
Accepting new patients |
| Tele911 Texas Emergency Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Tele911 Maryland Emergency Medical Group PA | Emergency Medicine | Current |
Accepting new patients |
| Tele911 California Emergency Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
Locations
155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911
13950 Milton Ave
Ste 400H
Westminster, CA 92683
Phone (888) 777-9055
4690 Millennium Dr
Ste 300
Belcamp, MD 21017
Phone (254) 835-3911
4690 Millennium Dr
Belcamp, MD 21017
Phone (443) 429-1646
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 257249 | NY | Yes |
Addresses
Primary practice location
355 Bard Ave
Rumc - Department of Emergency Medicine
Staten Island, NY 10310-1664
Mailing address
651 W Mount Pleasant Ave
Emergency Medical Associates
Livingston, NJ 07039-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257249 | Other | NY | NEW YORK STATE MEDICAL LICENSE |
Other providers in Staten Island, NY
- Margaret Jacqueline Bartolone-Rucci
- Kristen Barton
- Sonia Barton
- Vanessa Barulich
- Lisa Marie Basciano
- Usmaan Basharat
- Melissa Bashen
- Indira Bashic
- Bashir&Sons LLC
- Rita Bashmachenko
All providers in Staten Island, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.