Active NPI
Damian Jeremy Bass, M.D.
- Obstetrics & Gynecology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25092
- Practice address
- 6370 W Union Hills Dr
Glendale, AZ 85308-7136 - Phone
- (623) 414-3500
- Fax
- (623) 455-9214
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25092 | AZ | Primary |
Addresses
Primary practice location
6370 W Union Hills Dr
Glendale, AZ 85308-7136
Mailing address
6370 W Union Hills Dr
Glendale, AZ 85308-7136
Phone (623) 414-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424284 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831001272 | AZ | Practitioner - Obstetrics/Gynecology | 1759356967 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Un of California, Irvine, College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Perinatal Services LLC
Practice addresses (Care Compare)
1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Perinatal Services, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Fetal and Women'S Center of Arizona, LLC | Past | Accepting new patients |
Locations
1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145
5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195
18699 N 67th Ave
Ste 320
Glendale, AZ 85308
Phone (623) 412-3100
2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600
4864 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 467-2145
2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152
8410 W Thomas Rd
Ste 138
Phoenix, AZ 85037
Phone (602) 266-2272
10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377
9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700
5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620
Interoperability endpoints
- https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
- damian.bass.1@20219.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Maternal & Fetal Medicine Physician
- Chandler, AZ
- NPI 1174866743
AZ, Obstetrics & Gynecology
-
- Specialist
- Scottsdale, AZ
- NPI 1801822119
Hospital & facility affiliations 2
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": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992791099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6370 W UNION HILLS DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087136",
"telephone_number": "623-414-3500",
"fax_number": "623-455-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 W UNION HILLS DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087136",
"telephone_number": "623-414-3500",
"fax_number": "623-455-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "DAMIAN",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "25092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424284",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.