Active NPI
Patrick Basu, M.D.
- Gastroenterology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME135670
- Practice address
- 6735 Conroy Rd Ste 223
Orlando, FL 32835-3570 - Phone
- (407) 203-2377
- Fax
- (407) 203-8811
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 51337 | KY | |
| Gastroenterology Physician | 207RG0100X | 190318 | NY | |
| Transplant Hepatology Physician | 207RT0003X | ME135670 | FL | |
| Gastroenterology Physician | 207RG0100X | ME135670 | FL | Primary |
| Hepatology Physician | 207RI0008X | ME135670 | FL | |
| Hepatology Physician | 207RI0008X | 190318 | NY |
Addresses
Primary practice location
6735 Conroy Rd Ste 223
Orlando, FL 32835-3570
Mailing address
9534 Wickham Way
Orlando, FL 32836-5524
Phone (917) 226-0284
Other practice location 1
5 Station Sq
Forest Hills, NY 11375-5232
Phone (718) 897-0584
Other practice location 2
6735 Conroy Rd Ste 223
Orlando, FL 32835-3570
Phone (407) 801-5248
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166115 | Other | ELDERPLAN | |
| 218509 | Other | WELLCARE | |
| 2499388 | Other | GHI PPO | |
| 5044440 | Other | NY | AETNA |
| HEALTH NET | Other | 4C2929 | |
| 693723 | Other | FIRST HEALTH | |
| 76220 | Other | GHI HMO | |
| 190318A33 | Other | HEALTH FIRST | |
| 60H103 | Other | NY | BCBS |
| 111517 | Other | VYTRA | |
| 1424916 | Other | UNITED HEALTH CARE | |
| P627420 | Other | OXFORD HP | |
| 09659P | Other | NY | HIP OF NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.05 of 100
- Quality
- 84.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 51.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135670 | FL | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Surgical Network Inc. | Multi-Specialty | Current | Accepting new patients |
| Trinidad Area Health Association | Multi-Specialty | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Multi-Specialty | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Trinidad Area Health Association | Multi-Specialty | Current | Accepting new patients |
| Las Cruces Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Familycare Associates,PA | Multi-Specialty | Past | Accepting new patients |
| Vitality Integrated Medical Network LLC | Multi-Specialty | Past | Accepting new patients |
| Michael Z Weiner MDPC | Multi-Specialty | Past | Accepting new patients |
Locations
400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
13845 US Highway 1
Sebastian, FL 32958
Phone (772) 589-9071
275 18th St
Ste 102
Vero Beach, FL 32960
Phone (772) 559-9998
225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- patrick.basu.1@5071.direct.athenahealth.com
Organizations & group practices 10
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
- Las Cruces, NM
- NPI 1215079678
Multi-Specialty
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Multi-Specialty
-
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
Multi-Specialty
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Orthopaedic Surgery Physician
- Trinidad, CO
- NPI 1548965999
Multi-Specialty
-
- Gastroenterology Physician
- Vero Beach, FL
- NPI 1366136814
Multi-Specialty
-
- Cardiovascular Disease Physician
- Forest Hills, NY
- NPI 1346325057
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1053396572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9534 WICKHAM WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365524",
"telephone_number": "917-226-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 CONROY RD STE 223",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353570",
"telephone_number": "407-203-2377",
"fax_number": "407-203-8811"
}
],
"practiceLocations": [
{
"address_1": "5 Station Sq",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113755232",
"country_code": "US",
"telephone_number": "718-897-0584",
"fax_number": "718-896-5571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6735 Conroy Rd Ste 223",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328353570",
"country_code": "US",
"telephone_number": "407-801-5248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASU",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "51337",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "190318",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "FL",
"license": "ME135670",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME135670",
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hepatology",
"state": "FL",
"license": "ME135670",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NY",
"license": "190318",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "166115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "218509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2499388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5044440",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "4C2929",
"identifier": "HEALTH NET",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "693723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "76220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "190318A33",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60H103",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "111517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1424916",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HP",
"identifier": "P627420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP OF NY",
"identifier": "09659P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.