BASIMAH ALBALOOSHY — NPI 1780170035 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology in PHILADELPHIA, PA)

CMS-1500 Box 24J / 33a • NPI

1780170035

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085P0229X (CMS 30)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology

Box 32 Service Location & ZIP+4

3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104-4319

✓ 9-Digit EDI 837 ZIP+4 (19104-4319)

Practice Phone & Referral Fax

(267) 590-7000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780170035 (BASIMAH ALBALOOSHY) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780170035` (NPI-1 Individual Practitioner)
Provider / Legal Name	BASIMAH ALBALOOSHY
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology NUCC Code: `2085P0229X` (Radiology, Pediatric Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104-4319
Practice Telephone / Fax	Tel: (267) 590-7000
Administrative Mailing Address	736 CAMBRIDGE ST, BRIGHTON, MA, 02135-2907
Enumeration & Last Sync	Enumerated: 2018-07-10 \| CMS Record Updated: 2024-06-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104-4319

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Plain-English Taxonomy & CMS Crosswalk (2085P0229X)

What Does Taxonomy Code 2085P0229X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085P0229X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Pediatric Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BASIMAH ALBALOOSHY)

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

Common Therapeutic Classes:

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
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MA \| License: `276904` \| Primary: Secondary
`2085P0229X` — Radiology, Pediatric Radiology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology	State: PA \| License: `MD484345` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BASIMAH ALBALOOSHY (NPI #1780170035)