MAYA ALEXA BASS (M.D., M.A.) – Family Medicine Physician, NPI 1376988279

MAYA ALEXA BASS (M.D., M.A.) is a healthcare provider. based in Cherokee, Oklahoma. specializing in INTERNAL MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D., M.A.. They hold a License No. MD456215 (PA). The NPI Number for MAYA ALEXA BASS (M.D., M.A.) is 1376988279

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MAYA ALEXA BASS (M.D., M.A.)
NPI
1376988279
Phone
(580) 596-2800
Address
405 S OKLAHOMA AVE
Enumeration Date
6 May 2013
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8565467990
Graduation Year
2013 (13 years ago)
PAC ID
8224261060
Group Practice PAC ID
4284530197
Professional Enrollment ID
I20210902000077
Address ID
NJ080351709HA504XXPIKE400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

1,476 INTERNAL MEDICINE in OK

Provider Addresses for MAYA ALEXA BASS (M.D., M.A.)

  • 405 S OKLAHOMA AVE

    CHEROKEE, OK 737282545

    Phone: (580) 596-2800

    Fax: (580) 596-2805

    Type: Mailing

  • 1101 E BROADWAY AVE

    ENID, OK 737014410

    Phone: (580) 596-2800

    Fax: (580) 596-2805

    Type: Location

  • 1 FEDERAL ST STE 200

    CAMDEN, NJ 081031088

    Phone: (848) 288-6935

    Fax: (732) 790-0107

    Type: Mailing

  • 1101 E Broadway Ave

    Enid, OK 737014410

    Phone: (580) 596-2800

    Fax: (580) 596-2805

    Type: Location

  • 1240 SW 44th St

    Oklahoma City, OK 731093604

    Phone: (405) 429-7940

    Type: Location

  • 817 Federal St

    Camden, NJ 081031539

    Phone: (856) 583-2400

    Fax: (580) 596-2805

    Type: Location

  • 3401 Market St Ste 105

    Philadelphia, PA 191043318

    Phone: (215) 220-4700

    Type: Location

  • 401 HADDON AVE

    CAMDEN, NJ 081031505

    Phone: (848) 288-6935

    Fax: (732) 790-0107

    Type: Location

  • 817 FEDERAL ST

    CAMDEN, NJ 081031539

    Phone: (856) 583-2400

    Fax: (580) 596-2805

    Type: Mailing

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: 2021-09-02

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
I20181004002216IFamily PracticePATBD
I20210902000077IInternal MedicineNJTBD

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 minutes1413$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 73728)

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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: 4284530197View full group profile
NameSpecialtyState
-NJ
Internal MedicineNJ
Internal MedicinePA
Nurse PractitionerPA
Family PracticeNJ
Internal MedicineNJ
Physician AssistantNJ
Internal MedicinePA
Nurse PractitionerNJ
Internal MedicinePA

Reviews

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Frequently asked questions

Does MAYA ALEXA BASS (M.D., M.A.) have a public NPI I can cite?
Public records show MAYA ALEXA BASS (M.D., M.A.) under NPI 1376988279.
Does the public listing show MAYA ALEXA BASS (M.D., M.A.) as active?
MAYA ALEXA BASS (M.D., M.A.)'s NPI record reflects an active status in NPPES.
What type of care does MAYA ALEXA BASS (M.D., M.A.) provide?
MAYA ALEXA BASS (M.D., M.A.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MAYA ALEXA BASS (M.D., M.A.)?
MAYA ALEXA BASS (M.D., M.A.) shows a connection to Cherokee, Oklahoma in registry-derived data.
Why is information missing for MAYA ALEXA BASS (M.D., M.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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