Individual provider Active NPI

Basem Said Goueli, M.D., PH.D.

  • Medical Oncology Physician
  • Williamsville, NY
National Provider Identifier
1699064089
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
299522 Issued in NY
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

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q037435MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TN, MO, NY, IN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20121016000518 MN Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Internal Medicine 8224288808 Reassigns benefits to 2 organizations
I20180828001811 TN Practitioner - Hematology/Oncology 8224288808 Reassigns benefits to 1 organization
I20190410001070 MO Practitioner - Hematology/Oncology 8224288808 Reassigns benefits to 2 organizations
I20190809000663 NY Practitioner - Hematology/Oncology 8224288808 Reassigns benefits to 2 organizations
I20251017001341 IN Practitioner - Medical Oncology 8224288808 Reassigns benefits to 1 organization

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
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, shared by 3 NPIs, 133 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

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 Hospital, Terre Haute, IN, CCN 150023
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
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

LicenseStateTypeSpecialty
55907MNMDHematology (Internal Medicine) Physician
29522NYMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic, LLC CurrentSince Nov 21, 2025 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Oct 24, 2022 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Oct 24, 2022 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
SSM Medical Group Inc. CurrentSince Dec 5, 2024 Accepting new patients
SSM Medical Group, Inc. Hematology CurrentSince Dec 5, 2024 Accepting new patients
Thompson Oncology Group Hematology & Oncology CurrentSince Jul 1, 2018 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Oct 1, 2023 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Nov 21, 2025 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
General Physician, PC CurrentSince Jul 1, 2019 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

  • Direct secure messaging: bgoueli565667@excellian.direct.allina.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.