MR. BASEL AL-ADHAM (PA-C) – Physician Assistant, NPI 1699802926
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for MR. BASEL AL-ADHAM (PA-C)
3006 S MARYLAND PKWY
SUITE 690
LAS VEGAS, NV 891092218
Phone: (702) 732-1290
Fax: (702) 732-1385
Type: Location
3090 VIALE MARCO POLO
HENDERSON, NV 890524131
Phone: (702) 614-6550
Fax: (702) 614-6562
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Medtronic, Inc. ($174).
Total Amount
$391
General + Research + Ownership
Payments
8
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $174 |
| Getinge USA Sales, LLC | $84 |
| Baxter Healthcare | $78 |
| Ethicon US, LLC | $29 |
| KLS-Martin L.P. | $26 |
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: 2020-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200413000071 | I | Physician Assistant | NM | TBD |
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.
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 89109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Emergency Medicine | NM | |
| - | NM | |
| - | NM | |
| H E M A T O L O G Y/ O N C O L O G Y | NM |
Reviews
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