Active NPI
Basem Said Goueli, M.D., PH.D.
- Medical Oncology Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 299522
- Practice address
- 45 Spindrift Dr
Williamsville, NY 14221-7889 - Phone
- (716) 422-5422
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 29522 | NY | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 55907 | MN | |
| Hematology & Oncology Physician | 207RH0003X | 57742 | TN | |
| Medical Oncology Physician | 207RX0202X | 299522 | NY | Primary |
| Hematology & Oncology Physician | 207RH0003X | 55907 | MN |
Addresses
Primary practice location
45 Spindrift Dr
Williamsville, NY 14221-7889
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q037435 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TN, MO, NY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Mayo Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cuyuna Regional Medical Center
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 359-1971
1711 N
Suite 202
Terre Haute, IN 47804-2766
Phone (812) 242-3610
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
400 Medical PLZ
Suite 10
Lake St Louis, MO 63367-1432
Phone (636) 625-6052
Hospital & facility affiliations
- Union Hospital Inc
- Mercy Hospital Joplin
- SSM Health Depaul Hospital St Louis
- SSM St Joseph Hospital West
- Union Hospital Clinton
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55907 | MN | MD | Hematology (Internal Medicine) Physician |
| 29522 | NY | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Hematology | Current | Accepting new patients |
| Thompson Oncology Group | Hematology & Oncology | Current | Accepting new patients |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
400 Medical Plz
Ste 10
Lake St Louis, MO 63367
Phone (636) 625-6052
400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
6199 Transit Rd
Depew, NY 14043
Phone (716) 206-0390
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
45 Spindrift Dr
Williamsville, NY 14221
Phone (716) 422-5422
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
Dept 888078
Knoxville, TN 37995
Interoperability endpoints
- bgoueli565667@excellian.direct.allina.com
- bgoueli523511@direct-ehr-ssmhc.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
-
- Family Medicine Physician
- Longville, MN
- NPI 1861414518
-
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Critical Access Hospital Clinic/Center
- Crosby, MN
- NPI 1639459282
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- Critical Access Hospital
- Clinton, IN
- NPI 1306844519
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1699064089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SPINDRIFT DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217889",
"telephone_number": "716-422-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUELI",
"first_name": "BASEM",
"middle_name": "SAID",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "NY",
"license": "29522",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MN",
"license": "55907",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "57742",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NY",
"license": "299522",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "55907",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q037435",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.