Sameh Basta, M.D
Individual provider Active NPI Family Medicine Physician · Middletown, DE
NPI 1922414978 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1922414978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A175282 (CA)
- Practice address
- 651 N Broad St Ste 206
Middletown, DE 19709-6402 - Phone
- (312) 459-0921
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220516002700 | CA | Practitioner - Family Practice | 8820475668 | Practice locations: Sacramento, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A175282 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | A175282 | CA | Yes |
Addresses
Primary practice location
651 N Broad St Ste 206
Middletown, DE 19709-6402
Mailing address
425 Michigan Ave
Buffalo, NY 14203-2209
Other practice location 1
425 Michigan Ave
Buffalo, NY 14203-2209
Phone (312) 459-0921
Other providers in Middletown, DE
- Flavee Simone Banfield
- Nakesha Victoria Barber
- Thomas Wilbert Barlee
- Tara Lynn Barrow
- Joseph R. Basante
- Aretha Bates
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc.
- Bayview Chiropractic LLC
- Bayview Internal Medicine, Inc
All providers in Middletown, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.