Active NPI
Basil Adrian Pakeman, MD
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1902883812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 207516
- Practice address
- 240 E 64TH St
New York, NY 10021 - Phone
- (212) 308-1566
- Fax
- (212) 758-1497
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 207516 | NY | Primary |
Addresses
Primary practice location
240 E 64TH St
New York, NY 10021
Mailing address
240 E 64TH St
New York, NY 10021
Phone (212) 308-1566
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PB7516 | Other | ATLANTIS HC | |
| 02103097 | Medicaid | NY | |
| 2455898 | Other | AETNA | |
| 2455893HMO | Other | AETNA INC | |
| 462281 | Other | BCBS & EMPIRE BCBS | |
| P11144086 | Other | MULTIPLAN | |
| 7365160 | Other | AETNA | |
| 7365160PPO | Other | AETNA INC | |
| P2129698 | Other | OXFORD HC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000055 | NY | Practitioner - Ophthalmology | 7416124755 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
240 E 64TH St
New York, NY 10065-7480
Phone (212) 308-1566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207516 | NY | MD | Ophthalmology Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bpakeman68961@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1902883812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E 64TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-308-1566",
"fax_number": "212-758-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E 64TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-308-1566",
"fax_number": "212-758-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKEMAN",
"first_name": "BASIL",
"middle_name": "ADRIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "207516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HC",
"identifier": "PB7516",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02103097",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2455898",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INC",
"identifier": "2455893HMO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & EMPIRE BCBS",
"identifier": "462281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P11144086",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7365160",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INC",
"identifier": "7365160PPO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HC",
"identifier": "P2129698",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.