Individual provider Active NPI

Lutfi Basatneh, M.D.

  • Specialist
  • Mesquite, TX
National Provider Identifier
1881620581
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3984 Issued in TX
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

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0966798-01MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000640 TX Practitioner - Neurology 5890797575 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3984TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Neurology Clinic PA Specialist CurrentSince Aug 1, 2007 Accepting new patients
North Texas Family Clinic PA PastSince Jan 1, 1997 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.