Individual provider Active NPI

Andrea P Basile, M.D.

  • Specialist
  • Naples, FL
National Provider Identifier
1063597052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME85435 Issued in FL
Practice address
1660 Medical Blvd
Suite 100
Naples, FL 34110-1413
Phone
(239) 514-8777
Fax
(239) 514-7977
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME85435 FL Primary

Addresses

Primary practice location

1660 Medical Blvd
Suite 100
Naples, FL 34110-1413

Mailing address

1660 Medical Blvd
Suite 100
Naples, FL 34110-1413
Phone (239) 514-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063597052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101413",
            "telephone_number": "239-514-8777",
            "fax_number": "239-514-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101413",
            "telephone_number": "239-514-8777",
            "fax_number": "239-514-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "ANDREA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.