Active NPI
Myrtha Basile, M.D.
- Hematology & Oncology Physician
- Tyler, TX
National Provider Identifier
1083619704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- L6778
- Practice address
- 721 Clinic Dr
Ste a
Tyler, TX 75701-2043 - Phone
- (903) 592-6152
- Fax
- (903) 526-0629
- NPI assigned
- Jun 17, 2005
- Last updated
- Oct 6, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | L6778 | TX | Primary |
Addresses
Primary practice location
721 Clinic Dr
Ste a
Tyler, TX 75701-2043
Mailing address
PO Box 731912
Dallas, TX 75373-1912
Phone (903) 877-7777
Other practice location 1
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6157
Other practice location 2
2101 Mulberry Ave
Mount Pleasant, TX 75455-1105
Phone (903) 434-4850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J8440 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1618910-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1013147313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1083619704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731912",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731912",
"telephone_number": "903-877-7777",
"fax_number": "903-877-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CLINIC DR",
"address_2": "STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757012043",
"telephone_number": "903-592-6152",
"fax_number": "903-526-0629"
}
],
"practiceLocations": [
{
"address_1": "2001 N Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "TX",
"postal_code": "754552338",
"country_code": "US",
"telephone_number": "903-577-6157",
"fax_number": "903-577-6437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Mulberry Ave",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "TX",
"postal_code": "754551105",
"country_code": "US",
"telephone_number": "903-434-4850",
"fax_number": "903-434-4890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASILE",
"first_name": "MYRTHA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "L6778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8J8440",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1618910-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.