BASAD ALI ESSA MD
NPI 1902193006
Psychiatry & Neurology - Neurology in Royal Oak, MI

Active since July 09, 2011PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073(855) 863-8761(248) 551-8190 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Oct 22, 2020, Aug 29, 2017 (3 updates tracked since 2017).

About Basad Ali Essa Md NPPES

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

BASAD ALI ESSA MD (NPI 1902193006) is an individual neurology provider in Royal Oak, Michigan, licensed in Michigan (4301099090) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1902193006
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameBASAD ALI ESSACredential: MD
Location Address3555 W 13 MILE RD STE N120Royal Oak, MI 48073-6710
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(248) 551-8190
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 9, 2011
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1902193006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 4301099090
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3555 W 13 MILE RD STE N120, Royal Oak, MI 48073

Accepted Insurance

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

Basad Ali Essa 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 ID7113220799
PECOS Enrollment IDI20170802003533
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 8

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.
291 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
163 services75 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.
96 services16 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.
54 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner (Pediatrics)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3555 W 13 MILE RD STE N120, BEAUMONT HOSPITAL ROYAL OAK
ROYAL OAK, MI 48073

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 Basad Essa's NPI number?

The NPI number for Basad Essa is 1902193006. It was assigned to this individual provider in the NPPES registry on July 9, 2011.

Where is Basad Essa located?

Basad Essa practices at 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073. The listed phone number is (855) 863-8761.

What is Basad Essa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Basad Essa enrolled in Medicare?

Yes. Basad Essa 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.

What insurance does Basad Essa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Basad Essa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Basad Essa affiliated with any hospitals?

According to CMS data, Basad Essa is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Basad Essa was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.