Individual provider Active NPI

Ayman H Basali, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Wooster, OH
National Provider Identifier
1861457509
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35072531B Issued in OH
Practice address
546 Winter St
Wooster, OH 44691-2300
Phone
(330) 202-5580
Fax
(330) 202-5581
NPI assigned
Apr 18, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35072531B OH Primary

Addresses

Primary practice location

546 Winter St
Wooster, OH 44691-2300

Mailing address

27739 S Woodland Rd
Pepper Pike, OH 44124-5633
Phone (216) 595-1328

Other identifiers 2

IdentifierTypeStateIssuer
2169264MedicaidOH
050072220OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050531000391 OH Practitioner - Pain Management 9436191533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Institute LLCGroup PAC ID 3274603493, 2 clinicians

Practice addresses (Care Compare)

546 Winter St
Suite 200
Wooster, OH 44691-2340
Phone (937) 548-3063

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.07 of 100Reported as group
Quality
99.87
Improvement activities
40
Cost
84.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072531BOHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Physician Services Co. LLC Past Accepting new patients
Wooster Urology LLC PastSince May 21, 2012 Accepting new patients
Elyria Anesthesia Incorporated PastSince May 17, 1993 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abasali@pnit.streamlinemddirect.com
  • Direct secure messaging: abasali563794@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1861457509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27739 S WOODLAND RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245633",
            "telephone_number": "216-595-1328",
            "fax_number": "330-202-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINTER ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912300",
            "telephone_number": "330-202-5580",
            "fax_number": "330-202-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALI",
        "first_name": "AYMAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35072531B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169264",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050072220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.