Active NPI
John J Basile MD PC
- Urology Physician
- Fairfax, VA
National Provider Identifier
1023176237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0623831
- Legal business name
- JOHN J BASILE MD PC
- Practice address
- 3020 Hamaker CT
Suite B 111
Fairfax, VA 22031-2238 - Phone
- (703) 876-0288
- Fax
- (703) 876-0290
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sunil V Patel
- Title
- President
- Phone
- (703) 876-0288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0623831 | VA | Primary |
Addresses
Primary practice location
3020 Hamaker CT
Suite B 111
Fairfax, VA 22031-2238
Mailing address
3020 Hamaker Court
Suite B 111
Fairfax, VA 22031
Phone (703) 876-0288
Other names 1
- Commonwealth Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Commonwealth Urology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Fairfax, VA
- NPI 1639938293
Interoperability endpoints
- sunilpatel@cwu.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Fairfax, VA
- NPI 1669498028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710547200000",
"number": "1023176237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HAMAKER COURT",
"address_2": "SUITE B 111",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-876-0288",
"fax_number": "703-876-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE B 111",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-876-0288",
"fax_number": "703-876-0290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN J BASILE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SUNIL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-876-0288"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "VA",
"license": "0623831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Commonwealth Urology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.