DR. BASEMA ISMAIL DIBAS MD NPI 1023284080

NPI Information

  • NPI: 1023284080
  • Provider Name: DR. BASEMA ISMAIL DIBAS, MD
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2211 LOMAS BLVD NE
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 272-3887

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NPI Details

DR. Basema Ismail Dibas, MD is a pediatric nephrology pediatrics in Albuquerque, NM with 38 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Basema Ismail Dibas, MD NPI is 1023284080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2211 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87106-719
Phone: (505) 272-3887

The NPI 1023284080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 2/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036-144300ILLINOISNo
22080P0210XPediatricsPediatric NephrologyMD470610PENNSYLVANIANo
32080P0210XPediatricsPediatric Nephrology036-144300ILLINOISNo
42080P0210XPediatricsPediatric Nephrology2010-02054NORTH CAROLINANo
52080P0210XPediatricsPediatric Nephrology2007022719MISSOURINo
62080P0210XPediatricsPediatric NephrologyMD2022-1462NEW MEXICOYes
7208000000XPediatricsMD2022-1462NEW MEXICONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11608UOTHERNORTH CAROLINABCBSNC
25916487MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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