Active NPI
Robert D Basow, MD
- Pediatrics Physician
- Hopkinton, MA
National Provider Identifier
1215977756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 77306
- Practice address
- 77 W. Main St.
Hopkinton, MA 01748 - Phone
- (508) 435-5506
- Fax
- (508) 497-5079
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 77306 | MA | Primary |
Addresses
Primary practice location
77 W. Main St.
Hopkinton, MA 01748
Mailing address
77 W. Main St.
Hopkinton, MA 01748
Phone (508) 435-5506
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134656 | Other | MA | AETNA |
| 12-00014 | Other | MA | UNITED HEALTHCARE |
| 3117715 | Medicaid | MA | |
| 2134656 | Other | MA | AETNA/US HEALTHCARE |
| J14122 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 200901 | Other | MA | HARVARD PILGRIM |
| B10327101 | Other | MA | CIGNA |
| 077306 | Other | MA | TUFTS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77306 | MA | MD | Pediatrics Physician |
Interoperability endpoints
- rbasow7906@direct.chppoc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1215977756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W. MAIN ST.",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "01748",
"telephone_number": "508-435-5506",
"fax_number": "508-497-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W. MAIN ST.",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "01748",
"telephone_number": "508-435-5506",
"fax_number": "508-497-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASOW",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "77306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2134656",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-00014",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3117715",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "2134656",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "J14122",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "200901",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B10327101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "077306",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.