Basem Halaka, MD,DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO4200 Issued in FL

Practice address

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703

Phone

(727) 796-6900

Fax

(727) 669-8417

NPI assigned

Jun 6, 2017

Last updated

Dec 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2017

Medicare assignment

May accept Medicare assignment

Group practices

One Foot Forward Podiatry PCGroup PAC ID 9830576453, 9 clinicians

Medical Services Corp of FloridaGroup PAC ID 3971996778, 8 clinicians

Foot Forward Podiatry PCGroup PAC ID 3971995697, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330
• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Medical Services Corp of Florida

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1598423253
  Medicare reassignment Care Compare group NPD
• Foot Forward Podiatry PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1487314332
  Medicare reassignment Care Compare group NPD
• One Foot Forward Podiatry PC

  • Podiatrist
  • Philadelphia, PA
  • NPI 1962145979
  Medicare reassignment Care Compare group NPD
• Institute for Foot and Ankle Surgery

  • Foot & Ankle Surgery Podiatrist
  • Orange City, FL
  • NPI 1033296173
  Medicare reassignment NPD
• Barbara Freeman

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1285199299
  NPD (past)
• Foot Forward Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1104152552
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altercare LLC

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• Halifax Hospital Medical Center

  dba Halifax Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation
• Medical Center of Deltona, Inc.

  dba Halifax Health UF Health - Medical Center of Deltona

  • General Acute Care Hospital
  • Deltona, FL
  • NPI 1003465097
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  dba AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Fish Memorial

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1144759853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-361-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11813 TREVALLY LOOP",
            "address_2": "APT 206",
            "address_purpose": "LOCATION",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346550051",
            "country_code": "US",
            "telephone_number": "740-417-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALAKA",
        "first_name": "BASEM",
        "name_prefix": "Dr.",
        "credential": "MD,DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4200",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Janice Hagmaier
• Nuria Lisa Hahn, ARNP
• Thomas Hains
• Stephen I Haire, MD
• Huzaifa Hussain Hakim, DO
• Alexandra Hale
• Nicole Renee Hall, SLP
• Robert Henry Haller, DDS
• William J. Halleran III, M. D.
• Jennifer Roberta Ham, PT

• Podiatrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.

Verify at the official NPI Registry.