Ahmad Abdallah Bashir, MD, FACS, FASMBS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A108814 Issued in CA

Practice address

GBMC- Jordan Hospital Medical Center, 29 Adib Wahbeh St
Second Floor, Suite 7
Amman, N/A 11152
JO

Phone

(006) 560-9067

Fax

(006) 565-6057

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

General Surgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
• Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Practice Physician
  • West Burlington, IA
  • NPI 1164433884
  Medicare reassignment Care Compare group NPD
• Henry County Health Center Inc

  • General Practice Physician
  • Mt Pleasant, IA
  • NPI 1871177477
  Medicare reassignment NPD
• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mt Pleasant, IA
  • NPI 1811571417
  Medicare reassignment NPD
• Henry County Health Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Mt Pleasant, IA
  • NPI 1346824943
  NPD (past)
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mt Pleasant, IA
  • NPI 1811571417
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1841402450",
    "addresses": [
        {
            "country_code": "JO",
            "country_name": "Jordan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "JORDAN HOSPITAL MEDICAL CENTER",
            "address_2": "GBMC- JORDAN HOSPITAL MEDICAL CENTER, 29 ADIB WAHBEH ST",
            "city": "AMMAN",
            "state": "N/A",
            "postal_code": "11152"
        },
        {
            "country_code": "JO",
            "country_name": "Jordan",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "GBMC- JORDAN HOSPITAL MEDICAL CENTER, 29 ADIB WAHBEH ST",
            "address_2": "SECOND FLOOR, SUITE 7",
            "city": "AMMAN",
            "state": "N/A",
            "postal_code": "11152",
            "telephone_number": "006-560-9067",
            "fax_number": "006-565-6057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St Agnes Hospital",
            "address_2": "900 Caton Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21229",
            "country_code": "US",
            "telephone_number": "410-368-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "AHMAD",
        "middle_name": "ABDALLAH",
        "credential": "MD, FACS, FASMBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "P18205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.