Victoria Basile, DO
Individual provider Active NPI Internal Medicine Physician · Trinity, FL
NPI 1003559378 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1003559378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- H0103510 (MD)
- Practice address
- 9330 FL-54
Trinity, FL 34655 - Phone
- (727) 834-4000
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mdics at Civista LLC
Practice addresses (Care Compare)
5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814
Hospital & facility affiliations
- University of MD Charles Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250630000043 | MD | Practitioner - Internal Medicine | 5799298253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics at Civista LLC | Current |
Accepting new patients | |
| Civista Medical Center Inc | Past | Accepting new patients | |
| Thomas M. Kerr MD PA | Past |
Accepting new patients |
Locations
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
Interoperability endpoints
- vbasile1276786@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H0103510 | MD | Yes |
Addresses
Primary practice location
9330 FL-54
Trinity, FL 34655
Mailing address
2845 W Walnut St
Johnson City, TN 37604-6365
Phone (423) 946-6072
Other providers in Trinity, FL
- Barkdoll Massage Therapy LLC
- Karla Barkdoll
- Barnes and Barnes MD
- Courtney Barnes-Harrington
- Tristine E Barry
- Natalie Eudora Bastien
- Chad Bates
- Fernando Batista Morales
- Bay Area Anesthesia LLC
- Bay Area Gastroenterology Associates LLC
All providers in Trinity, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.