Individual provider Active NPI

Bashar Omarbasha, MD

  • Urology Physician
  • Oneida, NY
National Provider Identifier
1992766992
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
173993 Issued in NY
Practice address
357 Genesee St
Suite 1
Oneida, NY 13421-2658
Phone
(315) 363-8862
Fax
(315) 363-3326
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 173993 NY Primary

Addresses

Primary practice location

357 Genesee St
Suite 1
Oneida, NY 13421-2658

Mailing address

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

Other identifiers 1

IdentifierTypeStateIssuer
01198241MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041028000486 NY Practitioner - Urology 2163484569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

357 Genesee St
Oneida, NY 13421-2658
Phone (315) 363-8862

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173993NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. Current Accepting new patients
Associated Medical Professionals of Ny, PLLC Urology CurrentSince Jan 1, 2009 Accepting new patients
Associated Medical Professionals of Ny, PLLC Urology CurrentSince Jan 1, 2009 Accepting new patients
Oswego County Urology PC Urology Past Accepting new patients
Cny Urology Urology PastSince Jul 1, 1990 Accepting new patients

Locations

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

357 Genesee St
Oneida, NY 13421
Phone (315) 363-8800

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

4900 Broad Rd
Ste 2I
Syracuse, NY 13215
Phone (315) 464-6106

Interoperability endpoints

  • Direct secure messaging: bomarbasha@rmh.medalliesdirect.net
  • Direct secure messaging: bomarbasha@ampofny.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1992766992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101155",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "address_2": "SUITE 1",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-8862",
            "fax_number": "315-363-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARBASHA",
        "first_name": "BASHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "173993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01198241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.