CMS-1500 Box 24J / 33a • NPI
1417251232
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
640 S 19TH ST, NEVADA, IA, 50201
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417251232 (DAMIUN BASSANDEH, CRNA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1417251232)
Medicare Beneficiaries
126
Total Billed Services
170
Distinct CPT/HCPCS Codes
46
Medicare Allowed Total
$21,277.46
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
00811 | Anesthesia for other procedure on large bowel using an endoscope | 15 |
00812 | Anesthesia for exam of colon using an endoscope | 15 |
01402 | Anesthesia for procedure for total knee joint replacement | 12 |
64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 13 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Duloxetine Hcl Duloxetine Hcl | 109 | 38 |
| Gabapentin Gabapentin | 33 | <11 |
| Meloxicam Meloxicam | 23 | <11 |
| Morphine Sulfate Er Morphine Sulfate | 12 | <11 |
| Pregabalin Pregabalin | 108 | 36 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417251232 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAMIUN BASSANDEH, CRNA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 640 S 19TH ST, NEVADA, IA, 50201 |
| Practice Telephone / Fax | Tel: (515) 382-2111 |
| Administrative Mailing Address | 1111 NE 15TH LN, ANKENY, IA, 50021-6561 |
| Enumeration & Last Sync | Enumerated: 2011-01-08 | CMS Record Updated: 2023-12-22 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAMIUN BASSANDEH, CRNA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: IA | License: D148781 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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