Active NPI
Ralph E Bassett, M.D.
- Otolaryngology Physician
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 24954
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24954 | AZ | |
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020539454 | Other | AZ | SCHALLER ANDERSON HEALTH |
| 020539454 | Other | AZ | HUMANA |
| 020539454 | Other | AZ | SUN HEALTH CORPORATION |
| 397564 | Other | AZ | AHCCCS |
| AZ0899410 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 020539454 | Other | AZ | PACIFICARE |
| 40016859 | Other | AZ | RRB |
| 606061100 | Other | AZ | DEPT OF LABOR-FECA |
| 001829159004 | Other | AZ | UNITED HEALTH CARE |
| 020539454 | Other | AZ | SECURE HORIZONS |
| NA918125 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Yavapai Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.35 of 100
- Quality
- 95
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Ear Nose and Throat Physicians PLLC | Single Specialty | Current | 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.
-
- Speech/Language/Hearing Specialist/Technologist
- Sun City West, AZ
- NPI 1730365958
Single Specialty
-
- Specialist
- Sun City West, AZ
- NPI 1225330426
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.