AREEN BASMAN FAISAL AL-TAIE (MD) – Interventional Cardiology Physician, NPI 1124414958

AREEN BASMAN FAISAL AL-TAIE (MD) is a healthcare provider. based in Orange park, Florida. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 44112 (AL). The NPI Number for AREEN BASMAN FAISAL AL-TAIE (MD) is 1124414958

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
AREEN BASMAN FAISAL AL-TAIE (MD)
NPI
1124414958
Phone
(904) 639-2000
Address
2001 KINGSLEY AVENUE
Enumeration Date
8 April 2015
Last Update Date
25 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567668570
Graduation Year
2011 (15 years ago)
PAC ID
9234532235
Group Practice PAC ID
3577580067
Professional Enrollment ID
I20220815000460
Address ID
AL356305767FL201XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

614 INTERVENTIONAL CARDIOLOGY in FL

Provider Addresses for AREEN BASMAN FAISAL AL-TAIE (MD)

  • 2001 KINGSLEY AVENUE

    ORANGE PARK, FL 32073

    Phone: (904) 639-2000

    Fax: (904) 639-2015

    Type: Mailing

  • 201 E DR HICKS BLVD

    FLORENCE, AL 356305767

    Phone: (904) 930-0070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $13,750.

Total Amount is formed as General ($13,750) + Research ($0) + Ownership ($0) = $13,750.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Abbott Laboratories ($7,894).

Total Amount

$13,750

General + Research + Ownership

Payments

135

Total payment records

General Amount

$13,750

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220815000460IInterventional CardiologyALTBD
I20251020000314IInterventional CardiologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes850389$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report609381$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function229204$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18263$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional11216$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 3577580067View full group profile
NameSpecialtyState
-AL

Reviews

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Frequently asked questions

What is AREEN BASMAN FAISAL AL-TAIE (MD)'s NPI number?
AREEN BASMAN FAISAL AL-TAIE (MD)'s NPI is 1124414958 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to AREEN BASMAN FAISAL AL-TAIE (MD)?
You should see AREEN BASMAN FAISAL AL-TAIE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is AREEN BASMAN FAISAL AL-TAIE (MD)?
AREEN BASMAN FAISAL AL-TAIE (MD) is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with AREEN BASMAN FAISAL AL-TAIE (MD)?
Directory geography for AREEN BASMAN FAISAL AL-TAIE (MD) centers on Orange Park, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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