Individual provider Active NPI

Amrik Singh Basi, M.D.

  • Adult Medicine Physician
  • Modesto, CA
National Provider Identifier
1740327568
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A92203 Issued in CA
Practice address
1524 McHenry Ave 340
Modesto, CA 95350-4567
Phone
(209) 846-3176
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A92203 CA Primary

Addresses

Primary practice location

1524 McHenry Ave 340
Modesto, CA 95350-4567

Mailing address

220 Standiford Ave F
Modesto, CA 95350-1159
Phone (209) 579-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000210 CA Practitioner - Emergency MedicinePractitioner - Family Practice 0840340410 Reassigns benefits to 1 organization
Practice locations: Modesto, CA

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1524 McHenry Ave
Suite 130
Modesto, CA 95350-4569
Phone (209) 846-3176

Merit-based Incentive Payment System (MIPS)

Final score
62.43 of 100Reported as individual
Quality
58.97
Promoting interoperability
100
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Urgent Care Inc CurrentSince Aug 1, 2015 Accepting new patients
Modesto Radiological Medical Group, Inc. Past Accepting new patients

Locations

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

1524 McHenry Ave
Ste 340
Modesto, CA 95350
Phone (209) 529-0612

1524 McHenry Ave
Ste 130
Modesto, CA 95350
Phone (209) 846-3176

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abasi199021@hisp.ehr.sutterhealth.org
  • Direct secure messaging: amrik.basi.1@33563.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1740327568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE 340",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504567",
            "telephone_number": "209-846-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASI",
        "first_name": "AMRIK",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A92203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.