NPIMap

Individual provider Active NPI

Basim Zuhdi Abdelkarim, MD

  • Gastroenterology Physician
  • Upland, CA
National Provider Identifier
1932217544
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A74259 Issued in CA
Practice address
1310 San Bernardino Rd
Suite 103
Upland, CA 91786-4979
Phone
(909) 920-0444
Fax
(909) 920-5044
NPI assigned
Aug 25, 2006
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A74259 CA
Gastroenterology Physician 207RG0100X A74259 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd
Suite 103
Upland, CA 91786-4979

Mailing address

1310 San Bernardino Rd
Suite 103
Upland, CA 91786-4979
Phone (909) 920-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000176 CA Practitioner - Gastroenterology 2163452301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Basim Z. Abdelkarim, M.D., Inc.Group PAC ID 5890796445, 4 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 103
Upland, CA 91786-4985
Phone (909) 920-0444

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy339
Upper gastrointestinal (GI) endoscopy for acid reflux259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18837NVMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Basim Z. Abdelkarim, M.D., Inc. Gastroenterology CurrentSince Aug 17, 2006 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. Gastroenterology CurrentSince Jul 5, 2024 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jul 5, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

8659 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 920-0444

1310 San Bernardino Rd
Ste 103
Upland, CA 91786
Phone (909) 920-0444

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 204
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Antonio Regional HospitalUpland, CA, CCN 050099 Hospital Corporate Director (8.33%) Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 5

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1932217544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELKARIM",
        "first_name": "BASIM",
        "middle_name": "ZUHDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A74259",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A74259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.