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MARIAM BASIR D.O.
NPI 1548646417
Pediatrics in New York, NY

Active since August 03, 2015PECOS Enrolled
320 E 94TH ST, SECOND FLOOR, NEW YORK, NY 10128(262) 424-4056 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mariam Basir D.o. NPPES

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

MARIAM BASIR D.O. (NPI 1548646417) is an individual pediatrics provider in New York, New York, licensed in New York (281246) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548646417
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARIAM BASIRCredential: D.O.
Location Address320 E 94TH ST, SECOND FLOORNew York, NY 10128-5604
Mailing Address18875 Brookridge DrBrookfield, WI 53045-8150 · (262) 424-4056
Phone(262) 424-4056
Sole ProprietorYes
Enumeration DateAugust 3, 2015
Last NPPES UpdateSeptember 26, 2023
✔ NPI 1548646417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 281246
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
320 E 94TH ST, New York, NY 10128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Basir D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mariam Basir reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,430 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

THE ST. LUKES ROOSEVELT HOSPITAL CENTER
Case Management
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 241-3257
JAIME LEE BEDARD LCSW
Social Worker (Clinical)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2050
MR. ZACHARY SPENCE FRIED LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2927
JACQUELINE STRAND LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 501-1276
LISA BETH DITCHEK MD
Pediatrics (Adolescent Medicine)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
DR. JULIE NAGPAL M.D.
Pediatrics (Adolescent Medicine)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 731-7576
DANIELLA ANTOLOS PHARMD
Pharmacist
320 E 94TH ST
NEW YORK, NY 10128
New York County (347) 415-7954
MS. MICHELE GREEN PHYSICIAN ASSISTANT
Physician Assistant
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2875

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 Mariam Basir's NPI number?

The NPI number for Mariam Basir is 1548646417. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Mariam Basir located?

Mariam Basir practices at 320 E 94th St Second Floor, New York, NY 10128. The listed phone number is (262) 424-4056.

What is Mariam Basir's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mariam Basir enrolled in Medicare?

Yes. Mariam Basir is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariam Basir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Basir reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Basir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariam Basir was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.