Malik Mossa-basha, MD | |
9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307 | |
(317) 579-2150 | |
(317) 579-2130 |
Full Name | Malik Mossa-basha |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 9998 Crosspoint Blvd Ste 200, Indianapolis, Indiana |
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 |
---|---|---|---|
1306264023 | NPI | - | NPPES |
43015045720 | Other | MI | STATE LICENSE |
D88654 | Other | MD | LICENSE |
01089176A | Other | IN | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01089176A (Indiana) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | D88654 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
Community Hospital North | Indianapolis, IN | Hospital |
Community Hospital East | Indianapolis, IN | Hospital |
Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
Community Hospital South, Inc. | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Of Indiana P C | 0648161430 | 91 |
Radiology Of Indiana P C | 0648161430 | 91 |
Entity Name | Basha Diagnostics P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20040226000460 |
Entity Name | Radiology Of Indiana P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992723829 PECOS PAC ID: 0648161430 Enrollment ID: O20221212000181 |
Mailing Address | Practice Location Address |
---|---|
Malik Mossa-basha, MD 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307 Ph: (317) 579-2150 | Malik Mossa-basha, MD 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307 Ph: (317) 579-2150 |
Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729 | |
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965 | |
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296 | |
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740 | |
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281 |