DR. FAWZY SAMY BASTA SR. MD
NPI 1043394505
Psychiatry & Neurology - Psychiatry in Northridge, CA

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
3/100
CMS Quality Rating
17075 DEVONSHIRE ST, STE 204, NORTHRIDGE, CA 91325(818) 368-8929(818) 368-8940 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fawzy Samy Basta Sr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAWZY SAMY BASTA SR. MD (NPI 1043394505) is an individual psychiatry provider in Northridge, California, licensed in California (A42961) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1043394505
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. FAWZY SAMY BASTA SR.Credential: MD
Location Address17075 DEVONSHIRE ST, STE 204Northridge, CA 91325-5408
Mailing Address17075 Devonshire St, Ste 204Northridge, CA 91325-1600 · (818) 368-8929 · Fax (818) 368-8940
Fax(818) 368-8940
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateOctober 24, 2006
Last NPPES UpdateJanuary 20, 2012
NPI 1043394505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A42961
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

17075 DEVONSHIRE ST, Northridge, CA 91325

Other Identifiers 3

Medicaid0A429611CA
Medicare UPINB50502
Medicare PINW11809A

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Fawzy Samy Basta Sr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426093451
PECOS Enrollment IDI20101124000589
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
493 services117 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
391 services229 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
327 services323 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
307 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
246 services161 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
124 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost10

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
17075 DEVONSHIRE ST, #205
NORTHRIDGE, CA 91325
Internal Medicine
17075 DEVONSHIRE ST, #100
NORTHRIDGE, CA 91325
Neurological Surgery
17075 DEVONSHIRE ST, SUITE 106
NORTHRIDGE, CA 91325
Specialist
17075 DEVONSHIRE ST, SUITE 300
NORTHRIDGE, CA 91325
Nurse Practitioner (Psychiatric/Mental Health)
17075 DEVONSHIRE ST
NORTHRIDGE, CA 91325
Dentist (General Practice)
17075 DEVONSHIRE ST, SUITE 208
NORTHRIDGE, CA 91325
Surgery
17075 DEVONSHIRE ST, SUITE 106
NORTHRIDGE, CA 91325
Physical Medicine & Rehabilitation
17075 DEVONSHIRE ST, SUITE 107
NORTHRIDGE, CA 91325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawzy Basta's NPI number?

The NPI number for Fawzy Basta is 1043394505. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Fawzy Basta located?

Fawzy Basta practices at 17075 Devonshire St Ste 204, Northridge, CA 91325. The listed phone number is (818) 368-8929.

What is Fawzy Basta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fawzy Basta enrolled in Medicare?

Yes. Fawzy Basta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fawzy Basta was last updated on January 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.