Active NPI
Douglas Basso, DPM
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005775
- Practice address
- 2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300 - Phone
- (618) 578-8667
- Fax
- (314) 983-9650
- NPI assigned
- Jan 7, 2016
- Last updated
- Nov 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 135.000901 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2018037270 | MO | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.005775 | IL | Primary |
Addresses
Primary practice location
2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300
Mailing address
4105 Endicott CT
Swansea, IL 62226-8210
Phone (618) 578-8667
Other practice location 1
4105 Endicott Ct
Swansea, IL 62226-8210
Phone (618) 578-8667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Arizona Podiatric Med Program at Midwestern Un, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2071 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 857-2700
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 44 |
| Removal or shaving of skin growth | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005775 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 135.000901 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basso Family LLC | Current | Accepting new patients | |
| Best Foot Forward Corp | Current | Accepting new patients | |
| Fairview Medical Group LLC | Current | Accepting new patients | |
| Best Foot Forward Corp | Foot & Ankle Surgery | Current | Accepting new patients |
| Preferred Podiatry Group PC | Current | Accepting new patients | |
| Touchette Regional Hospital Inc | Current | Accepting new patients |
Locations
168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
123 Rottingham Ct
Edwardsville, IL 62025
Phone (618) 655-1385
331 Salem Pl
Ste 100
Fairview Hts, IL 62208
Phone (618) 578-8667
27 Auerbach Pl
Glen Carbon, IL 62034
Phone (618) 277-3700
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
1000 Patterson St
Anderson, MO 64831
Phone (417) 845-3351
10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800
1479 US Highway 61
Ste B
Crystal Cty, MO 63028
Phone (636) 224-8297
1550 Villa Dr
De Soto, MO 63020
Phone (636) 586-6559
2821 N Ballas Rd
Ste C15
Saint Louis, MO 63131
Phone (314) 983-0088
8790 Watson Rd
Ste 103
Saint Louis, MO 63119
Phone (314) 252-0708
Interoperability endpoints
- dbasso123@nsfaaci-il.direct.office.nextgen.com
- douglas.basso.1@9559.direct.athenahealth.com
- https://api.platform.athenahealth.com/12893/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
-
- Podiatric Clinic/Center
- Edwardsville, IL
- NPI 1396456406
-
- Internal Medicine Physician
- Swansea, IL
- NPI 1427009232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Touchette Geriatric Behavioral Health Services
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1295191112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 ENDICOTT CT",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622268210",
"telephone_number": "618-578-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 N BALLAS RD STE C15",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312300",
"telephone_number": "618-578-8667",
"fax_number": "314-983-9650"
}
],
"practiceLocations": [
{
"address_1": "4105 Endicott Ct",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622268210",
"country_code": "US",
"telephone_number": "618-578-8667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASSO",
"first_name": "DOUGLAS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-07",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "135.000901",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2018037270",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.