Michael Anthony Basso-Williams, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Jeffersonvlle, IN
NPI 1316200967 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1316200967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 02008177A (IN)
- Practice address
- 1220 Spring St
Jeffersonvlle, IN 47130-3704 - Phone
- (812) 282-8494
- Fax
- (812) 288-4481
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Associates Inc
SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494
12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480
Hospital & facility affiliations
- Kort
- Norton Clark Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200414001483 | CA | Practitioner - Orthopedic Surgery | 5597194795 | |
| I20250826000485 | IN | Practitioner - Orthopedic Surgery | 5597194795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13055 | CA | MD | Orthopaedic Surgery Physician |
| 02008177A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Clifford Scott Goldthorpe PC | Orthopaedic Surgery | Past |
Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A13055 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 02008177A | IN | Yes |
Addresses
Primary practice location
1220 Spring St
Jeffersonvlle, IN 47130-3704
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9529
Other practice location 1
207 W Legion Rd
Brawley, CA 92227-7780
Phone (209) 956-7732
Other providers in Jeffersonvlle, IN
- Anne Spicer Adams
- Gene Allen Baker
- Trevor Hollinsworth
- Larry P Mudd
- Noell L Rowan
- Sydney Elizabeth Sims
- Samantha Blain Sisco
All providers in Jeffersonvlle, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.