Deactivated NPI 1467563429 Deactivated / Inactive NPI Male Practitioner

Dr. Basel Moussa , MD

Specialist • Fairview Park, OH

✓ Accepts Medicare Assignment Telehealth Available

⚠️

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. Basel Moussa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006

NPI Deactivation Date July 17, 2007

Total Practice Duration ~22 Years of Practice (1985 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Basel Moussa, MD was a registered Specialist practicing in Fairview Park, OH. Throughout an active medical career spanning 22 years, Dr. Moussa provided care at the practice location at 20997 LORAIN RD until profile deactivation on 2007-07-17.

Dr. Moussa accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

20997 Lorain Rd

Fairview Park, OH 44176

Telephone 4403566666

Fax 4403566651

Associated Practice Facility / Clinic

🏢 Cardiovascular Imaging Associates, Llc Facility NPI 1376648683

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fairview Park, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Fairview Park, OH (1444 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moussa (41 Years) 41 Yrs

Fairview Park Specialty Average (41.0 Years) 41.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	372	215	$120.00	$89.79
93000 Routine ekg using at least 12 leads including interpretation and report	334	249	$52.00	$14.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	249	119	$40.00	$8.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	103	$94.00	$78.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	149	$180.00	$127.01
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	127	124	$251.97	$68.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	124	102	$181.00	$130.69
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	79	79	$500.00	$189.47
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	48	44	$200.00	$12.18
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$162.00	$13.81
99291 Critical care, first 30-74 minutes	30	16	$400.00	$213.54
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	28	27	$900.00	$223.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$241.30	$165.30
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	22	22	$341.00	$69.35
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	11	11	$950.00	$766.06
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	11	11	$50.00	$24.73
93308 Ultrasound of heart, follow-up	11	11	$106.00	$24.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	494	305	$40.00	$8.00
99213 Established patient office or other outpatient visit, typically 15 minutes	438	230	$120.00	$86.95
93000 Routine ekg using at least 12 leads including interpretation and report	324	243	$52.00	$13.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	84	$94.00	$77.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	124	$180.00	$123.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	133	127	$250.00	$66.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	78	$181.00	$128.16
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	83	83	$500.00	$186.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	44	$200.00	$12.42
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	31	31	$900.00	$245.24
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	29	28	$162.00	$13.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	16	$180.00	$95.68
99291 Critical care, first 30-74 minutes	24	15	$400.00	$211.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$194.17	$161.96
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	22	22	$341.00	$67.47
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$120.00	$69.78
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	15	15	$50.00	$24.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$228.00	$170.71
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	15	15	$950.00	$777.10
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	11	11	$103.00	$20.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$20.00	$14.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	547	254	$120.00	$88.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	414	241	$40.00	$8.20
93000 Routine ekg using at least 12 leads including interpretation and report	365	265	$52.00	$13.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	123	$94.00	$70.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	181	174	$250.00	$69.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	138	124	$181.00	$133.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	97	$180.00	$124.38
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	83	82	$500.00	$192.68
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	70	64	$200.00	$12.78
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	42	41	$900.00	$251.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$190.00	$164.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$228.00	$195.66
99291 Critical care, first 30-74 minutes	22	21	$400.00	$217.51
99442 Telephone medical discussion with physician, 11-20 minutes	21	18	$120.00	$78.11
93312 Ultrasound of heart with probe in esophagus, with report	20	17	$320.00	$104.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	13	$180.00	$97.20
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	19	19	$175.00	$26.55
93308 Ultrasound of heart, follow-up	19	13	$106.00	$24.90
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	19	17	$100.00	$3.08
93320 Ultrasound of heart blood flow, valves and chambers	18	16	$100.00	$17.78
93246 Heart rhythm recording of continous external ekg over 8-15 days	18	18	$150.00	$13.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$190.00	$135.30
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	12	12	$341.00	$64.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	624	278	$115.99	$89.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	548	329	$40.00	$8.30
93000 Routine ekg using at least 12 leads including interpretation and report	371	265	$52.00	$14.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	243	110	$94.00	$71.07
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	142	140	$250.00	$70.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	131	110	$181.00	$134.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	85	85	$500.00	$196.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	68	$170.25	$126.53
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	61	56	$200.00	$12.45
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	42	21	$300.00	$33.09
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	40	39	$900.00	$228.22
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	37	34	$341.00	$65.27
99291 Critical care, first 30-74 minutes	36	30	$379.17	$219.72
93246 Heart rhythm recording of continous external ekg over 8-15 days	32	32	$150.00	$14.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	20	$176.88	$99.28
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	31	31	$175.00	$26.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$190.00	$165.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$228.00	$197.98
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	16	16	$2200.00	$453.41
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	14	14	$3000.00	$651.16
93308 Ultrasound of heart, follow-up	11	11	$106.00	$25.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$67.91	$54.14
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	11	11	$100.00	$3.11
93320 Ultrasound of heart blood flow, valves and chambers	11	11	$100.00	$17.93
93312 Ultrasound of heart with probe in esophagus, with report	11	11	$320.00	$108.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	537	262	$100.00	$72.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	493	265	$40.00	$8.48
93000 Routine ekg using at least 12 leads including interpretation and report	337	261	$52.00	$16.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	222	101	$94.00	$71.65
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	177	175	$250.00	$73.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	111	$181.00	$135.15
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	102	98	$500.00	$197.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	68	$130.00	$104.56
J2785 Injection, regadenoson, 0.1 mg	76	19	$100.00	$58.91
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	60	30	$300.00	$31.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	55	54	$900.00	$240.16
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	46	45	$341.00	$61.48
99291 Critical care, first 30-74 minutes	41	27	$350.00	$222.34
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	40	40	$2200.00	$447.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	25	$130.00	$78.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$190.00	$160.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$228.00	$200.77
0296T External EKG recording for more than 48 hours up to 21 days	21	20	$150.00	$23.18
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	19	19	$175.00	$27.09
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	17	17	$3000.00	$684.01
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	15	15	$162.00	$14.78
93312 Ultrasound of heart with probe in esophagus, with report	14	13	$320.00	$109.89
93320 Ultrasound of heart blood flow, valves and chambers	14	13	$100.00	$18.29
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	14	13	$100.00	$3.17
93308 Ultrasound of heart, follow-up	11	11	$106.00	$25.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	576	322	$40.00	$8.41
99213 Established patient office or other outpatient visit, typically 15 minutes	538	271	$100.00	$71.73
93000 Routine ekg using at least 12 leads including interpretation and report	333	260	$52.00	$16.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	90	$94.00	$71.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	143	135	$250.00	$72.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	98	$181.00	$135.10
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	79	77	$496.84	$196.41
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	76	38	$300.00	$115.02
J2785 Injection, regadenoson, 0.1 mg	60	15	$100.00	$57.50
99291 Critical care, first 30-74 minutes	59	33	$350.00	$220.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$130.00	$105.24
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	51	50	$900.00	$250.40
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	44	43	$341.00	$61.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	31	$130.00	$77.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	40	$228.00	$199.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	39	39	$2200.00	$451.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	23	$139.00	$102.55
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	25	23	$162.00	$14.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$190.00	$159.88
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	16	16	$1200.00	$311.90
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	14	14	$2928.57	$656.96
93308 Ultrasound of heart, follow-up	13	12	$106.00	$25.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	523	269	$100.00	$70.05
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	375	208	$40.00	$8.32
93000 Routine ekg using at least 12 leads including interpretation and report	318	252	$52.00	$16.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	215	87	$94.00	$71.31
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	160	154	$254.69	$72.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	130	107	$181.00	$134.04
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	70	70	$500.00	$197.76
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	68	34	$300.00	$119.75
J2785 Injection, regadenoson, 0.1 mg	56	14	$100.00	$55.64
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	44	41	$900.00	$263.01
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	37	36	$341.00	$60.70
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	34	34	$2200.00	$456.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$228.00	$198.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	21	$130.00	$76.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$130.00	$103.47
99291 Critical care, first 30-74 minutes	31	22	$350.00	$219.06
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	26	26	$162.00	$14.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$190.00	$158.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$139.00	$102.14
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	14	14	$419.00	$79.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$190.00	$126.72
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	11	11	$3000.00	$672.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	662	290	$100.00	$85.36
93000 Routine ekg using at least 12 leads including interpretation and report	394	284	$52.00	$19.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	178	102	$40.00	$10.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	157	149	$251.59	$79.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	80	$94.00	$87.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	145	114	$181.00	$165.68
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	115	114	$500.00	$261.70
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	105	52	$300.00	$119.75
J2785 Injection, regadenoson, 0.1 mg	84	21	$100.00	$54.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$190.00	$192.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	53	52	$2200.00	$562.46
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	53	52	$341.00	$78.92
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	46	45	$900.00	$333.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	33	$130.00	$95.48
99291 Critical care, first 30-74 minutes	37	24	$350.00	$273.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$130.00	$124.53
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	28	26	$419.00	$98.09
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	28	27	$162.00	$18.09
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	14	12	$100.00	$3.89
93320 Ultrasound of heart blood flow, valves and chambers	14	12	$100.00	$22.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$67.00	$47.81
93312 Ultrasound of heart with probe in esophagus, with report	14	12	$320.00	$134.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$228.00	$246.53

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35-071087

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0852635 (OH)

Commercial Insurance / Payer ID Anthem Blue Cross

000000152232 (OH)

Commercial Insurance / Payer ID Provider Number

522125821 (OH)

Commercial Insurance / Payer ID Caresource

522125821026 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Robert Blankenburg , DDS

Dentist - General Practice

NPI 1477681161

Doctor of Dental Surgery

Dr. Lisa Tyler , DDS

Dentist - General Practice

NPI 1609086776

Doctor of Dental Surgery

Dr. Basem Droubi , MD

Surgery - Vascular Surgery

NPI 1811910284

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🔄

NPI Profile Reactivated September 07, 2007

Record officially reactivated for active practice on September 07, 2007

📍

Updated Practice Location September 07, 2007

Registered at 20997 LORAIN RD, FAIRVIEW PARK, OH 44176 (Tel: 4403566666)

📍

Updated Business Mailing Address September 07, 2007

Registered at PO BOX 450615, WEST LAKE, OH 44145 (Tel: 4403566666)

👤

Provider Name / Credentials Updated September 07, 2007

Recorded as BASEL MOUSSA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2007

Specialist (License #35-071087 in OH)

⚠️

NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

🟢

Initial NPI Registration & Enumeration August 31, 2006

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: 1467563429

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: September 07, 2007

Deactivation Date: July 17, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 450615

West Lake, OH 44145

Phone: 4403566666

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.