Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1144222316 Deactivated / Inactive NPI Male Practitioner

Dr. Manola A Basa , MD

Surgery • Bath, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Manola Basa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2005
NPI Deactivation Date August 07, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Manola Basa, MD was a registered Surgery practicing in Bath, NY. Throughout an active medical career spanning 19 years, Dr. Basa provided care at the practice location at 7603 ROUTE 54 until profile deactivation on 2024-08-07.

Practice Location & Contact Primary Location

Practice Address

7603 Route 54

Bath, NY 148107930

Telephone 6077764176
Fax 6077761783
Associated Practice Facility / Clinic
🏢 Finger Lakes Internists Facility NPI 1407845415

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bath, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Bath, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 137012

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Mohammad Mirza , MD

Internal Medicine

NPI 1386646560

Doctor of Medicine (M.D.)

Dr. Muhammad Jalaluddin , MD

Neurological Surgery

NPI 1386894814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2024

Record deactivated on August 07, 2024

NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2008

Registered at 7603 ROUTE 54, BATH, NY 148107930 (Tel: 6077764176)

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Updated Business Mailing Address May 06, 2008

Registered at 7603 ROUTE 54, BATH, NY 148107930 (Tel: 6077764176)

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Provider Name / Credentials Updated May 06, 2008

Recorded as MANOLA BASA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Surgery (License #137012 in NY)

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Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144222316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: May 06, 2008
Deactivation Date: August 07, 2024

Mailing Address

7603 Route 54

Bath, NY 148107930

Phone: 6077764176

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.