Basit Khan Achakzai, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Sayre, PA
NPI 1780903278 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1780903278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- MD457909 (PA)
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-4000
- Fax
- (570) 887-5775
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Fpa Hospital Based
University Physician Associates of New Jersey Inc
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
- Robert Packer Hospital
- Mount Sinai West
- The University Hospital
- Mount Sinai Beth Israel
- Corning Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD457909 | PA | MD | Vascular & Interventional Radiology Physician |
| MT197890 | PA | MD | Surgery Physician |
Practice roles (10 of 13)
| 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 | |
| Guthrie Medical Group, P.C. | 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 |
Locations
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
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
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 H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- bachakzai89016@direct-guthrie.org
- basit.achakzai.p7@direct.vac.nextgenshare.com
- basit.achakzai.wo@direct.vac.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT197890 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD457909 | PA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0649139 | Medicaid | NJ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bachakzai89016@direct-guthrie.org | Direct |
Other providers in Sayre, PA
- Mubashir Abbas
- Fatima Tuz Zahra Abdullah
- Allyson Michelle Abell
- Rizal Michael Ramos Abello
- Kasarah Leanna Ackerman
- Halice Ackley
- Adeolu Adebayo Adeboye
- Ayush Adhikari
- Akriti Agrawal
All providers in Sayre, PA · Vascular & Interventional Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.