Individual provider Active NPI

Andrew Michael Basnett, M.D.

  • MOHS-Micrographic Surgery Physician
  • Columbia, MO
National Provider Identifier
1013145234
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2010026609 Issued in MO
Practice address
401 N Keene St
Columbia, MO 65201
Phone
(573) 876-1616
NPI assigned
Jun 25, 2009
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 2010026609 MO Primary

Addresses

Primary practice location

401 N Keene St
Columbia, MO 65201

Mailing address

BLDG H 2005 Knight Lane
Attn: Medical Staff Support Services
Jacksonville, FL 32212-1098

Other practice location 1

Bldg H 2005 Knight Lane
Attn: Medical Staff Support Services
Jacksonville, FL 32212-1098
Phone (619) 532-8038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000548 MO Practitioner - Dermatology 2769715622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Missouri Dermatology Associates, LLPGroup PAC ID 4789803065, 15 clinicians

Practice addresses (Care Compare)

401 N Keene St
Columbia, MO 65201-6625
Phone (573) 876-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision238
Removal of tissue1-10
Removal of skin lesions2771
Removal of skin cancer779
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010026609MOMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Dermatology Associates, LLP CurrentSince Jan 1, 2022 Accepting new patients

Locations

606 E Spring St
Boonville, MO 65233
Phone (573) 777-4700

401 N Keene St
Columbia, MO 65201
Phone (573) 874-3300

1705 Christy Dr
Ste 208
Jefferson Cty, MO 65101
Phone (573) 659-5560

Interoperability endpoints

  • Direct secure messaging: abasnett@centralmoderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1013145234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG H 2005 KNIGHT LANE",
            "address_2": "ATTN: MEDICAL STAFF SUPPORT SERVICES",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322121098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-876-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg H 2005 Knight Lane",
            "address_2": "Attn: Medical Staff Support Services",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322121098",
            "country_code": "US",
            "telephone_number": "619-532-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASNETT",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2010026609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.