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BASEM MOHAMED ELBROLOSY M.D.
NPI 1326211582
Family Medicine in Poland, ME

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
1230 MAINE ST, POLAND, ME 04274(207) 998-4483(207) 998-2189 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Basem Mohamed Elbrolosy M.d. NPPES

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

BASEM MOHAMED ELBROLOSY M.D. (NPI 1326211582) is an individual family medicine provider in Poland, Maine, licensed in Maine (MD24059) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1326211582
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBASEM MOHAMED ELBROLOSYCredential: M.D.
Location Address1230 MAINE STPoland, ME 04274-7325
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04240-7291 · (207) 777-8950 · Fax (207) 777-8800
Phone(207) 998-4483
Fax(207) 998-2189
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 9, 2008
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1326211582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD24059
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1230 MAINE ST, Poland, ME 04274
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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

Basem Mohamed Elbrolosy M.d. 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 ID3678908936
PECOS Enrollment IDI20240828000918
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services88 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.
44 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04274 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims309 services$3.33 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,479 services$0.32 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$178.44 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$24.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MS. JULIE A WILSON NP
Nurse Practitioner (Family)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
COMMUNITY CLINICAL SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1230 MAINE ST, ROOM A
POLAND, ME 04274
Androscoggin County (207) 998-4483
JORDAN A ALBAIR FNP
Nurse Practitioner (Family)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
JESSICA LANGELLA FNP
Nurse Practitioner (Family)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
MR. CHRISTOPHER JOHN CONNOR FNP-C
Nurse Practitioner (Primary Care)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
DR. DOUGLAS G. SMITH MD
Family Medicine
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
RACHEL CAMPBELL
Nurse Practitioner (Family)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483
BRENT TODORICH
Nurse Practitioner (Psychiatric/Mental Health)
1230 MAINE ST
POLAND, ME 04274
Androscoggin County (207) 998-4483

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 Basem Elbrolosy's NPI number?

The NPI number for Basem Elbrolosy is 1326211582. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Basem Elbrolosy located?

Basem Elbrolosy practices at 1230 Maine St, Poland, ME 04274. The listed phone number is (207) 998-4483.

What is Basem Elbrolosy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Basem Elbrolosy enrolled in Medicare?

Yes. Basem Elbrolosy 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.

Is Basem Elbrolosy affiliated with any hospitals?

According to CMS data, Basem Elbrolosy is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Basem Elbrolosy was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.