Individual provider Active NPI

Dennis Randolph Bassetti, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Sebring, FL
National Provider Identifier
1245270453
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME45746 Issued in FL
Practice address
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone
(863) 402-3402
Fax
(863) 402-3111
NPI assigned
Jun 7, 2006
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME45746 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME45746 FL Primary
Pulmonary Disease Physician 207RP1001X ME45746 FL

Addresses

Primary practice location

4200 Sun N Lake Blvd
Sebring, FL 33872-1986

Mailing address

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3402

Other practice location 1

4409 Sun N Lake Blvd
Suite E
Sebring, FL 33872-2170
Phone (863) 314-0001

Other identifiers 2

IdentifierTypeStateIssuer
P00237448OtherRAILROAD MEDICARE
28131OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000954 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Hospice/Palliative CarePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7214828110 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bassetti & Associates MD PA Pulmonary Disease CurrentSince Mar 22, 2004 Accepting new patients
Argen Enterprises of Highlands Inc Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Bassetti & Associates M.D., P.a. Pulmonary Disease Past Accepting new patients
Highlands Diagnostic Imaging Center, Inc PastSince Jan 20, 1997 Accepting new patients

Locations

4409 Sun N Lake Blvd
Ste E
Sebring, FL 33872
Phone (863) 314-0001

5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001

6801 US 27 N
Ste B1
Sebring, FL 33870
Phone (863) 382-8080

Interoperability endpoints

  • Direct secure messaging: dennis.bassetti.1@7743.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7743/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1245270453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721986",
            "telephone_number": "863-402-3402",
            "fax_number": "863-402-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721986",
            "telephone_number": "863-402-3402",
            "fax_number": "863-402-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 Sun N Lake Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722170",
            "country_code": "US",
            "telephone_number": "863-314-0001",
            "fax_number": "863-314-0944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETTI",
        "first_name": "DENNIS",
        "middle_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45746",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME45746",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME45746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00237448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28131",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.