AMENAH BASITH PA-C
NPI 1124820956
Physician Assistant - Medical in Rolling Meadows, IL
About Amenah Basith Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMENAH BASITH PA-C (NPI 1124820956) is an individual medical provider in Rolling Meadows, Illinois and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amenah Basith Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amenah Basith's NPI number?
The NPI number for Amenah Basith is 1124820956. It was assigned to this individual provider in the NPPES registry on March 25, 2025.
Where is Amenah Basith located?
Amenah Basith practices at 3487 Kirchoff Rd, Rolling Meadows, IL 60008. The listed phone number is (847) 870-0506.
What is Amenah Basith's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Amenah Basith enrolled in Medicare?
Yes. Amenah Basith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amenah Basith was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amenah Basith, PA-C · NPI 1124820956
Medical physician in Rolling Meadows, Illinois. Individual provider, active in the CMS NPPES registry since March 25, 2025.
## Identity
- **NPI:** 1124820956 (Entity type: Individual)
- **Enumerated:** March 25, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 3487 KIRCHOFF RD, Rolling Meadows, IL 60008-1842
- **Phone:** (847) 870-0506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124820956) · Data from the CMS NPPES public registry.