BASSEM SADIK GHALY KELADA (MD) – Family Medicine Physician, NPI 1154749976

BASSEM SADIK GHALY KELADA (MD) is a healthcare provider. based in Chowchilla, California. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. A153031 (CA). The NPI Number for BASSEM SADIK GHALY KELADA (MD) is 1154749976

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BASSEM SADIK GHALY KELADA (MD)
NPI
1154749976
Phone
(559) 665-1400
Address
401 TRINITY AVE
Enumeration Date
29 March 2014
Last Update Date
12 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5596644000
Graduation Year
2000 (26 years ago)
PAC ID
1254629686
Group Practice PAC ID
4880584317
Professional Enrollment ID
I20180605002015
Address ID
CA937203341FR7202XAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

Provider Addresses for BASSEM SADIK GHALY KELADA (MD)

  • 401 TRINITY AVE

    CHOWCHILLA, CA 936102851

    Phone: (559) 665-1400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180605002015IGeneral PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880584317View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerTX
Internal MedicineCA
Internal MedicineCA
-CA
Family PracticeTX
Physician AssistantAZ
Physician AssistantCA
Family PracticeCA

Reviews

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Frequently asked questions

Does BASSEM SADIK GHALY KELADA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BASSEM SADIK GHALY KELADA (MD) uses 1154749976.
Is BASSEM SADIK GHALY KELADA (MD) listed as active for patients and plans?
The listing shows BASSEM SADIK GHALY KELADA (MD) as active in the NPI system.
What is BASSEM SADIK GHALY KELADA (MD)'s primary classification?
Family Medicine Physician is the headline specialty for BASSEM SADIK GHALY KELADA (MD) here. Clinical services aligned with this taxonomy classification.
What area does BASSEM SADIK GHALY KELADA (MD) serve?
BASSEM SADIK GHALY KELADA (MD)'s listing highlights Chowchilla, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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