Individual provider Active NPI

Benjamin Basseri, M.D.

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1801059647
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A107388 Issued in CA
Practice address
9454 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-2904
Phone
(310) 855-5855
Fax
(310) 855-5819
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A107388 CA Primary

Addresses

Primary practice location

9454 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-2904

Mailing address

2355 Westwood Blvd # 844
Los Angeles, CA 90064-2109
Phone (310) 855-5855

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
I20130619000653 CA Practitioner - Gastroenterology 4284873498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8631 W 3Rd St
1015E
Los Angeles, CA 90048-5925

8631 W 3Rd St 1015
Los Angeles, CA 90048-5925

Hospital & facility affiliations

  • Mother Theresa'S Home Health Services Home health agency, Burbank, CA, CCN 058224
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy558
Upper gastrointestinal (GI) endoscopy for acid reflux554

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Digestive Health Inc. Gastroenterology Current Accepting new patients
Benjamin Basseri MD Inc. Gastroenterology CurrentSince May 6, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9454 Wilshire Blvd
Ste 510
Beverly Hills, CA 90212
Phone (310) 688-4141

8631 W 3rd St
Ste 1015
Los Angeles, CA 90048
Phone (310) 652-4472

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

2355 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 966-7650

8631 W 3rd St
#1015E
Los Angeles, CA 90048
Phone (310) 652-4472

Interoperability endpoints

  • Direct secure messaging: bbasseri102319@direct.cshs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1801059647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 844",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "310-855-5855",
            "fax_number": "310-855-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD STE 510",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122904",
            "telephone_number": "310-855-5855",
            "fax_number": "310-855-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSERI",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A107388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.