Individual provider Active NPI

Ralph E Bassett, M.D.

  • Otolaryngology Physician
  • Sun City West, AZ
National Provider Identifier
1841293677
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
24954 Issued in AZ
Practice address
14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815
Phone
(623) 975-1660
Fax
(623) 584-4282
NPI assigned
May 24, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24954 AZ
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 24954 AZ Primary

Addresses

Primary practice location

14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815

Mailing address

14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815
Phone (623) 975-1660

Other practice location 1

10503 W Thunderbird Blvd Ste 104
Sun City, AZ 85351-3047
Phone (623) 975-1660

Other identifiers 11

IdentifierTypeStateIssuer
020539454OtherAZSCHALLER ANDERSON HEALTH
020539454OtherAZHUMANA
020539454OtherAZSUN HEALTH CORPORATION
397564OtherAZAHCCCS
AZ0899410OtherAZBLUE CROSS BLUE SHIELD
020539454OtherAZPACIFICARE
40016859OtherAZRRB
606061100OtherAZDEPT OF LABOR-FECA
001829159004OtherAZUNITED HEALTH CARE
020539454OtherAZSECURE HORIZONS
NA918125MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactus@az-ent.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110920000523 AZ Practitioner - Otolaryngology 1355359787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Ear Nose and Throat Physicians PLLCGroup PAC ID 5698758357, 3 clinicians

Practice addresses (Care Compare)

14510 W Shumway Dr
Suite 101
Sun City West, AZ 85375-5815
Phone (623) 975-1660

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
96.35 of 100Reported as group
Quality
95
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Ear Nose and Throat Physicians PLLC Single Specialty CurrentSince Mar 1, 2002 Accepting new patients
Azent Hearing Centre LLC Specialist Past Accepting new patients

Locations

10503 W Thunderbird Blvd
Ste 104
Sun City, AZ 85351
Phone (623) 975-1660

14510 W Shumway Dr
Ste 101
Sun City West, AZ 85375
Phone (623) 975-1660

13949 W Meeker Blvd
Ste C
Sun City West, AZ 85375
Phone (623) 975-1660

Organizations & group practices 2

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 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1841293677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755815",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755815",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10503 W Thunderbird Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-975-1660",
            "fax_number": "623-975-1654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "RALPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24954",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "24954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHALLER ANDERSON HEALTH",
            "identifier": "020539454",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "020539454",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUN HEALTH CORPORATION",
            "identifier": "020539454",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "397564",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0899410",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "020539454",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "40016859",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR-FECA",
            "identifier": "606061100",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "001829159004",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "020539454",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA918125",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@az-ent.com",
            "affiliation": "N",
            "endpointDescription": "patient fax server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14510 W Shumway Dr Ste 101",
            "city": "Sun City West",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853755815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.