Active NPI
Amit Basu, MD
- Specialist
- Pittsburgh, PA
National Provider Identifier
1013989326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD071796L
- Practice address
- 3459 5TH Ave
N725
Pittsburgh, PA 15213-3236 - Phone
- (412) 647-5730
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD071796L | PA | Primary |
Addresses
Primary practice location
3459 5TH Ave
N725
Pittsburgh, PA 15213-3236
Mailing address
200 Lothrop St
Suite 9055 Forbes Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-3087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001911278 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD071796L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current | Accepting new patients | |
| New York Surgicalist Services, P.C. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Garnet Health Medical Center | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
407 Gidney Ave
Ste B
Newburgh, NY 12550
Phone (845) 458-4700
Interoperability endpoints
- abasu1123151@nychhc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- Newburgh, NY
- NPI 1720663768
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1013989326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"address_2": "SUITE 9055 FORBES TOWER",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-647-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3459 5TH AVE",
"address_2": "N725",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133236",
"telephone_number": "412-647-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASU",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD071796L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001911278",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.