Individual provider Active NPI

Bassam Ahmad Hamid, MD

  • Internal Medicine Physician
  • Baytown, TX
National Provider Identifier
1902913064
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8261 Issued in TX
Practice address
2802 Garth Rd Ste 203
Baytown, TX 77521-3924
Phone
(281) 427-2149
Fax
(281) 427-4390
NPI assigned
Aug 24, 2006
Last updated
May 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8261 TX Primary

Addresses

Primary practice location

2802 Garth Rd Ste 203
Baytown, TX 77521-3924

Mailing address

PO Box 1905
Baytown, TX 77522-1905
Phone (281) 427-2149

Other identifiers 2

IdentifierTypeStateIssuer
136448106MedicaidTX
136448108MedicaidTX

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
I20110621000311 TX Practitioner - Internal Medicine 9133105489 Practice locations: Baytown, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4000 Garth Rd
Suite 130
Baytown, TX 77521-3169
Phone (281) 427-2149

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
J8261TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Diagnostic Clinic Internal Medicine PastSince Feb 17, 2011 Accepting new patients
Sev Home Care, Inc. Past Accepting new patients
Bassam a. Hamid M.D.,P.a. Urgent Care/Primarycare PastSince Feb 17, 2011 Accepting new patients

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1902913064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775221905",
            "telephone_number": "281-427-2149",
            "fax_number": "281-427-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 203",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213924",
            "telephone_number": "281-427-2149",
            "fax_number": "281-427-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "BASSAM",
        "middle_name": "AHMAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136448106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136448108",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.