Dr. Amaya Marie Basta, MD
Radiology, Diagnostic Radiology in Cleveland, OH. Individual provider (NPI-1).
NPI number1457589699
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1457589699
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amaya Marie Basta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2009
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M13201 | ID | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 340687 | LA | |
| 2085R0202X | Radiology, Diagnostic Radiology | 115078 | CA |
Practice location
9500 Euclid AveCleveland, OH 44195-6241
Phone 866-320-4573
Mailing address
64 Homestead DrBoise, ID 83716-3018
Phone 206-484-0907
Other practice locations
202 Ethan Way
Idaho City, ID 83631-5015
Idaho City, ID 83631-5015
Phone 206-484-0907
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