Active NPI
Lutfi Basatneh, M.D.
- Specialist
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K3984
- Practice address
- 1320 N Galloway 101
Mesquite, TX 75149-2440 - Phone
- (972) 342-6265
- Fax
- (972) 279-9040
- NPI assigned
- Jun 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K3984 | TX | Primary |
Addresses
Primary practice location
1320 N Galloway 101
Mesquite, TX 75149-2440
Mailing address
1320 N Galloway 101
Mesquite, TX 75149-2440
Phone (972) 342-6265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0966798-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Neurology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1320 N Galloway Ave
Suite 101
Mesquite, TX 75149-2461
Phone (972) 329-9001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3984 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesquite Neurology Clinic PA | Specialist | Current | Accepting new patients |
| North Texas Family Clinic PA | Past | Accepting new patients |
Locations
2698 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 329-9001
1320 N Galloway Ave
Ste 101
Mesquite, TX 75149
Phone (214) 914-6873
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.
-
- Specialist
- Mesquite, TX
- NPI 1063575942
-
- Clinic/Center
- Mesquite, TX
- NPI 1861676231
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Mesquite, TX
- NPI 1790174860
-
dba Baylor Scott & White Medical Center - Sunnyvale
- General Acute Care Hospital
- Sunnyvale, TX
- NPI 1255579389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1881620581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N GALLOWAY 101",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492440",
"telephone_number": "972-342-6265",
"fax_number": "972-279-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N GALLOWAY 101",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492440",
"telephone_number": "972-342-6265",
"fax_number": "972-279-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASATNEH",
"first_name": "LUTFI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K3984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0966798-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.