Mahdi Saleh Al-Bassam, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

E0779 Issued in TX

Practice address

7600 Beechnut St
Houston, TX 77074-4302

Phone

(281) 701-4630

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Crosspointe Medical Clinic

  • Family Medicine Physician
  • Cypress, TX
  • NPI 1861993255
  NPD
• Crosspointe Medical Clinic

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1578563482
  NPD (past)
• Innovative Radiology PA

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1568400810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1821175621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17206 KINNEAR RD. N.E.",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103022",
            "telephone_number": "281-701-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744302",
            "telephone_number": "281-701-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-BASSAM",
        "first_name": "MAHDI",
        "middle_name": "SALEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "E0779",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E0779",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E0779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD/BLUECROSS",
            "identifier": "0086XG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/PALMETTO GBA",
            "identifier": "P01080869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salah Al Din Al-Azri, DDS
• Haytham Asad Al-Azzeh, MD
• Hassan Al-Balas, M.D.
• Sophia Al-Banna
• Aalia Al-Barwani, M.D.
• Aisha Said Al-Breiki, MD
• Astefanos Emad Yacoub Al-Dalakta, MD
• Reem Al-Dallal, MD
• Shakir Muthanna Al-Ezzi, MD
• Sara Al-Haddad, MD

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.