Individual provider Active NPI

Sushil Kumar Basra, MD

  • Orthopaedic Surgery of the Spine Physician
  • Commack, NY
National Provider Identifier
1295948115
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
257883 Issued in NY
Practice address
763 Larkfield Rd
2ND Floor
Commack, NY 11725-3131
Phone
(631) 462-2225
Fax
(631) 462-2240
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 257883 NY Primary

Addresses

Primary practice location

763 Larkfield Rd
2ND Floor
Commack, NY 11725-3131

Mailing address

763 Larkfield Rd
2ND Floor
Commack, NY 11725-3131
Phone (631) 462-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110314000858 NY Practitioner - Orthopedic Surgery 4789776170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Long Island Spine Specialists PCGroup PAC ID 5799676854, 10 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1000 N Village Ave
Rockville Center, NY 11570-1000

45 Park Ave
Bay Shore, NY 11706-7308
Phone (631) 837-2359

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

565 Hempstead Tpke
West Hempstead, NY 11552-1143
Phone (631) 837-2359

763 Lakfield Rd
Commack, NY 11725-3131
Phone (631) 837-2359

763 Larkfield Rd
FL 2
Commack, NY 11725-3131
Phone 6314622225250

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
36.06 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
73.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion103
Laminectomy or laminotomy (partial removal of spine bones)55
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257883NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC CurrentSince Jun 11, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Jun 11, 2025 Accepting new patients
Boston University Family Medicine, Inc. PastSince Sep 1, 2008 Accepting new patients

Locations

763 Larkfield Rd
Fl 2
Commack, NY 11725
Phone (631) 462-2225

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

565 Hempstead Tpke
West Hempstead, NY 11552
Phone (631) 837-2359

Interoperability endpoints

  • Direct secure messaging: sbasra14455@direct-chsli.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1295948115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 LARKFIELD RD",
            "address_2": "2ND FLOOR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253131",
            "telephone_number": "631-462-2225",
            "fax_number": "631-462-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 LARKFIELD RD",
            "address_2": "2ND FLOOR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253131",
            "telephone_number": "631-462-2225",
            "fax_number": "631-462-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRA",
        "first_name": "SUSHIL",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "257883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.