Active NPI
Sushil Kumar Basra, MD
- Orthopaedic Surgery of the Spine Physician
- Commack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 257883
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCLong Island Spine Specialists PC
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
- St Catherine of Siena Hospital
- St Francis Hospital - the Heart Center
- Good Samaritan Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 36.06 of 100
- Quality
- 35
- Improvement activities
- 0
- Cost
- 73.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 103 |
| Laminectomy or laminotomy (partial removal of spine bones) | 55 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257883 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Boston University Family Medicine, Inc. | Past | 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
- 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.
-
- Orthopaedic Surgery of the Spine Physician
- Commack, NY
- NPI 1245251198
NY
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.