Individual provider Active NPI

Basit Khan Achakzai, MD

  • Vascular & Interventional Radiology Physician
  • Sayre, PA
National Provider Identifier
1780903278
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD457909 Issued in PA
Practice address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone
(570) 887-4000
Fax
(570) 887-5775
NPI assigned
May 24, 2010
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT197890 PA
Vascular & Interventional Radiology Physician 2085R0204X MD457909 PA Primary

Addresses

Primary practice location

1 Guthrie SQ
Sayre, PA 18840-1625

Mailing address

30 Bergen St RM 1205
Newark, NJ 07107-3000

Other practice location 1

150 Bergen St # Streetc
Newark, NJ 07103
Phone (973) 972-5188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bachakzai89016@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161007000392 NY Practitioner - Interventional Radiology 0244528297 Reassigns benefits to 2 organizations
I20161108001215 PA Practitioner - Interventional Radiology 0244528297 Reassigns benefits to 1 organization
I20180918000793 NJ Practitioner - Diagnostic Radiology 0244528297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, shared by 5 NPIs, 795 clinicians
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900

91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-6164

One Guthrie SQ
Sayre, PA 18840-1625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457909PAMDVascular & Interventional Radiology Physician
MT197890PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2016 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2016 Accepting new patients
University Physician Associates of New Jersey Inc Vascular & Interventional Radiology CurrentSince Sep 1, 2018 Accepting new patients
Guthrie Medical Group, P.C, CurrentSince Sep 17, 2016 Accepting new patients
Fpa Hospital Based Current Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Sep 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Fpa Hospital Based CurrentSince Apr 1, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Apr 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Ste 1205
Newark, NJ 07107
Phone (973) 972-0037

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bachakzai89016@direct-guthrie.org
  • Direct secure messaging: basit.achakzai.p7@direct.vac.nextgenshare.com
  • Direct secure messaging: basit.achakzai.wo@direct.vac.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1780903278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST RM 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-887-4000",
            "fax_number": "570-887-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen St # Streetc",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07103",
            "country_code": "US",
            "telephone_number": "973-972-5188",
            "fax_number": "973-972-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHAKZAI",
        "first_name": "BASIT",
        "middle_name": "KHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT197890",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD457909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bachakzai89016@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Guthrie Sq",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188401625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.