Basil M Dudar (NPI# 1407804958, PAC ID# 4981616257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1407804958 |
| PAC ID by PECOS | 4981616257 |
| Professional Enrollment ID | I20060705000163 |
| Full Name | Basil M Dudar |
| Organization Legal Name | EASTLAKE CARDIOVASCULAR PC |
| Address |
24211 Little Mack Ave Saint Clair Shores MI 48080-1151 |
| Phone Number | 8104980440 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1999 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4688562176 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230053 | HENRY FORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 3133431000 | WILLIAM BEAUMONT HOSPITAL |
| 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 8104980440 | EASTLAKE CARDIOVASCULAR PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 42% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 97% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 98% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 27% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 56% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 34% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 76% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% |
| Organization Legal Name | EASTLAKE CARDIOVASCULAR PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Riyadh Kasmikha | Internal Medicine | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| George B Ghanem | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Joan S Crawford | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Simone N Cowan | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Michael T Tucciarone | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Marc O Gosselin | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Georges B Ghafari | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Edouard R Daher | Interventional Cardiology | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| William J Cushing | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Anthony J Kawa | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Street Address |
24211 LITTLE MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48080-1151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Riyadh Kasmikha | Internal Medicine | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| George B Ghanem | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Joan S Crawford | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Simone N Cowan | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Michael T Tucciarone | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Marc O Gosselin | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Georges B Ghafari | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Edouard R Daher | Interventional Cardiology | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| William J Cushing | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Anthony J Kawa | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wontika R Smith | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Constantine Sam Raphtis | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Michelle A Konieczny | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Anne B Mccarren | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Jennifer G Kuzel | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Kami Kveton | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Brilio Mojares | Interventional Cardiology | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Anthony C Fazi | Nurse Practitioner | St Clair Orthopaedics and Sports Medicine PC | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 |
| Kirk Gregory Cleland | Orthopedic Surgery | St Clair Orthopaedics and Sports Medicine PC | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 |
| Kumara Rama | Vascular Surgery | 23829 Little Mack Ave, Suite 200, Saint Clair Shores, MI 48080-1188 | |
| Find all physicians in zip 48080 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SAINT CLAIR SHORES + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Basil M Dudar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.