Active NPI
Basit Khan Achakzai, MD
- Vascular & Interventional Radiology Physician
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD457909
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bachakzai89016@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 PC
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD457909 | PA | MD | Vascular & Interventional Radiology Physician |
| MT197890 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C, | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | 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
- bachakzai89016@direct-guthrie.org
- basit.achakzai.p7@direct.vac.nextgenshare.com
- 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.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba University Radiology Associates
- Diagnostic Radiology Physician
- Newark, NJ
- NPI 1316957913
Vascular & Interventional Radiology
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Diagnostic Radiology Physician
- Towanda, PA
- NPI 1598892333
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Family Medicine Physician
- Towanda, PA
- NPI 1811946304
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1942543889
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
-
dba Robert Packer Hospital, Towanda Campus
- General Acute Care Hospital
- Towanda, PA
- NPI 1134734528
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.