NPIMap

Individual provider Active NPI

Edgar C Baselli, M.D.

  • Urology Physician
  • York, PA
National Provider Identifier
1255418885
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD068011L Issued in PA
Practice address
2350 Freedom Way
Suite 102
York, PA 17402
Phone
(717) 741-9536
Fax
(717) 741-5509
NPI assigned
Nov 1, 2006
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD068011L PA
Urology Physician 208800000X MD068011L PA Primary

Addresses

Primary practice location

2350 Freedom Way
Suite 102
York, PA 17402

Mailing address

2350 Freedom Way
Suite 102
York, PA 17402
Phone (717) 741-9536

Other identifiers 3

IdentifierTypeStateIssuer
664700OtherPAHIGHMARK BLUESHIELD
02208001OtherPACAPITAL BLUECROSS
0018496900004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000531 PA Practitioner - Urology 7719994946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Pennsylvania State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2350 Freedom Way
102 Upmc Yorktowne Urology
York, PA 17402-8265
Phone (717) 741-9536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068011LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Yorktowne Urology, PC Current Accepting new patients
York Hospital Past Accepting new patients
York Hospital Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2350 Freedom Way
Ste 102
York, PA 17402
Phone (717) 741-9536

Interoperability endpoints

  • Direct secure messaging: ebaselli@yturology.medentdirect.com
  • Direct secure messaging: ebaselli538549@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1255418885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY",
            "address_2": "SUITE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-9536",
            "fax_number": "717-741-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY",
            "address_2": "SUITE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-9536",
            "fax_number": "717-741-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASELLI",
        "first_name": "EDGAR",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD068011L",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD068011L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "664700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "02208001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018496900004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.