Bassam J Daghman, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Bay City, MI
NPI 1790798304 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790798304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 4301071281 (MI)
- Practice address
- 1900 Columbus Avenue
3175 Columbus Avenue
Bay City, MI 48706 - Phone
- (989) 891-9050
- Fax
- (989) 891-9070
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Self Medical Group
McLaren Bay Region
University Physicians of Brooklyn, Inc.
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4398
1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3000
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1603
90 W St
Apt 7H
New York, NY 10006-1065
Phone (864) 725-5437
Hospital & facility affiliations
- Self Regional Healthcare
- McLaren Bay Region
- Abbeville Area Medical Center
- Suny/Downstate University Hospital of Brooklyn
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in MI, NY, SC, IL, FL, HI
- 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 |
|---|---|---|---|---|
| I20040310001190 | MI | Practitioner - Diagnostic Radiology |
8325944887 | Reassigns benefits to 1 organization |
| I20190314001914 | NY | Practitioner - Diagnostic Radiology | 8325944887 | Reassigns benefits to 3 organizations |
| I20190325000008 | SC | Practitioner - Diagnostic Radiology | 8325944887 | Reassigns benefits to 1 organization |
| I20191115001487 | IL | Practitioner - Diagnostic Radiology | 8325944887 | Reassigns benefits to 2 organizations |
| I20230106000702 | FL | Practitioner - Diagnostic Radiology | 8325944887 | Reassigns benefits to 1 organization |
| I20231116003169 | HI | Practitioner - Diagnostic Radiology | 8325944887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301071281 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Imaging Consultants LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Physicians of Brooklyn, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Kauai Medical Clinic | Current |
Accepting new patients | |
| McLaren Bay Region | Current |
Accepting new patients | |
| McLaren Bay Region | Current |
Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current |
Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current |
Accepting new patients | |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Kauai Medical Clinic | Current |
Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current |
Accepting new patients |
| Self Medical Group | Diagnostic Radiology | Current |
Accepting new patients |
| Self Medical Group | Past |
Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
75 Remittance Dr
Dept 6764
Chicago, IL 60675
1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
1900 Columbus Ave
#3175
Bay City, MI 48708
Phone (989) 891-9050
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301071281 | MI | Yes |
Addresses
Primary practice location
1900 Columbus Avenue
3175 Columbus Avenue
Bay City, MI 48706
Mailing address
916 Washington Avenue
Suite 323
Bay City, MI 48708
Phone (989) 891-9050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4736860 | Medicaid | MI |
Other providers in Bay City, MI
- Taylor Rayanne Cumper
- Ashley Curry
- Rachel Lee Curry
- Ryleigh Jean Curtis
- Cassidy Cushway
- Theresa Dahlby
- Hailey Dahn
- Leeah Dahn
- Ronni Renee Dailey-Kopulos
- Rhonda J Dailey
All providers in Bay City, MI · Diagnostic Radiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.