Individual provider Active NPI

Basil M Harris, MD

  • Emergency Medicine Physician
  • Macungie, PA
National Provider Identifier
1043283492
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD424860 Issued in PA
Practice address
3369 State Route 100
Macungie, PA 18062-9613
Phone
(610) 402-8111
NPI assigned
Feb 8, 2006
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD424860 PA Primary

Addresses

Primary practice location

3369 State Route 100
Macungie, PA 18062-9613

Mailing address

PO Box 3012
Wilmington, DE 19804
Phone (800) 456-4629

Other practice location 1

100 West Lancaster Avenue
Wynnewood, PA 19096
Phone (610) 645-2420

Other identifiers 1

IdentifierTypeStateIssuer
1013262340001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050720000172 PA Practitioner - Emergency Medicine 2062449291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
LVPG Emergency Medicine
Allentown, PA 18103-6202
Phone (610) 402-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424860PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Apr 2, 2024 Accepting new patients
Main Line Emergency Med Associates LLC Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 2, 2024 Accepting new patients
Conestoga Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Colonial Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

56 W Main St
Ste 305
Christiana, DE 19702

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Fl 4
Allentown, PA 18103

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3369 Route 100
Macungie, PA 18062
Phone (484) 232-6863

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: bharris866542@direct2.lvhn.org

Organizations & group practices 8

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 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1043283492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19804",
            "telephone_number": "800-456-4629",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 STATE ROUTE 100",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629613",
            "telephone_number": "610-402-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 West Lancaster Avenue",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "19096",
            "country_code": "US",
            "telephone_number": "610-645-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BASIL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD424860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013262340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.