Active NPI
Bassem Fawzy El-Bahtity, MD
- Psychiatry Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME106365
- Practice address
- 10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723 - Phone
- (561) 752-9490
- Fax
- (561) 752-9491
- NPI assigned
- May 16, 2007
- Last updated
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME106365 | FL | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | ME106365 | FL |
Addresses
Primary practice location
10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Mailing address
1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672
Other practice location 1
11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535
Other practice location 2
1065 NE 125th St STE 206
North Miami, FL 33161-5832
Phone (305) 891-0050
Other practice location 3
7481 W Oakland Park Blvd STE 100
Tamarac, FL 33319-4985
Phone (954) 771-7743
Other practice location 4
1601 N Palm Ave STE 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 NE 125TH St
Suite 206
North Miami, FL 33161-5832
Phone (888) 852-6672
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | Accepting new patients | |
| QMC LLC | Past | Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555
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.
-
- Psychiatry Physician
- North Miami, FL
- NPI 1619965795
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1922215573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH ST STE 300",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615833",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD STE B200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373723",
"telephone_number": "561-752-9490",
"fax_number": "561-752-9491"
}
],
"practiceLocations": [
{
"address_1": "11430 N KENDALL DR STE 106",
"address_purpose": "LOCATION",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761041",
"country_code": "US",
"telephone_number": "305-279-5535",
"fax_number": "305-279-2742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1065 NE 125th St STE 206",
"address_purpose": "LOCATION",
"city": "North Miami",
"state": "FL",
"postal_code": "331615832",
"country_code": "US",
"telephone_number": "305-891-0050",
"fax_number": "305-891-0497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7481 W Oakland Park Blvd STE 100",
"address_purpose": "LOCATION",
"city": "Tamarac",
"state": "FL",
"postal_code": "333194985",
"country_code": "US",
"telephone_number": "954-771-7743",
"fax_number": "954-771-7748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 N Palm Ave STE 211",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330263204",
"country_code": "US",
"telephone_number": "954-447-0010",
"fax_number": "954-447-0899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL-BAHTITY",
"first_name": "BASSEM",
"middle_name": "FAWZY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME106365",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME106365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.