| Dr Basha Imtiyaz Mohammed, MD | |
|
3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | |
| (888) 488-7640 | |
| Not Available |
| Full Name | Dr Basha Imtiyaz Mohammed |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 3555 S Val Vista Dr, Gilbert, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942693098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A134707 (California) | Secondary |
| 208M00000X | Hospitalist | 50273 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 50273 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pioneer Hospitalists, Pllc | 0941290290 | 46 |
| Apogee Medical Group Inc | 2961314265 | 91 |
| Entity Name | Apogee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760652218 PECOS PAC ID: 2961314265 Enrollment ID: O20031104000688 |
| Entity Name | Pioneer Hospitalists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033177316 PECOS PAC ID: 0941290290 Enrollment ID: O20040517001550 |
| Entity Name | Arizona Internal Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619299286 PECOS PAC ID: 0446388581 Enrollment ID: O20100510000692 |
| Entity Name | Banner Cancer Center Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Allied Internal Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124408232 PECOS PAC ID: 7315251964 Enrollment ID: O20150917003141 |
| Entity Name | Vituity - Arizona Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770109704 PECOS PAC ID: 5395163745 Enrollment ID: O20200916002069 |
| Entity Name | App Of Southern Arizona Hm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542679 PECOS PAC ID: 7113335159 Enrollment ID: O20210413000209 |
| Entity Name | Lifeline Hospitalist Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265107478 PECOS PAC ID: 3577961606 Enrollment ID: O20211004003129 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Basha Imtiyaz Mohammed, MD 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 Ph: (888) 488-7640 | Dr Basha Imtiyaz Mohammed, MD 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 Ph: (888) 488-7640 |
Hadil Owaynat, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 155 E Warner Rd, Gilbert, AZ 85296 Phone: 480-649-6600 Fax: 480-649-6700 | |
Sandhyaben P Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2134 Fax: 480-512-6089 | |
Soyoung Park, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Dr. Shivakumar Vignesh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2946 E Banner Gateway Dr., Suite 400, Gilbert, AZ 85234 Phone: 480-256-3332 Fax: 813-449-8028 | |
Dr. Noreen Catherine Ruane, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3555 S Val Vista Dr, Gilbert, AZ 85297 Phone: 602-933-0777 Fax: 602-933-0755 | |
Dr. Ala Eddin Samir Sagar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2940 E Banner Gateway Drive, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Theresa Ong Liu Dumlao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3359 |