Mircea M Basaraba, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD45417 Issued in TN

Practice address

155 Hospital Rd Ste G
Winchester, TN 37398-2495

Phone

(931) 967-7227

Fax

(931) 967-7267

NPI assigned

Jun 26, 2006

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score

89.67 of 100Reported as individual

Quality

91.37

Improvement activities

40

Cost

77.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHIHAA/Endpoint/DHIHAA

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.

• Southern Tennessee Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Winchester, TN
  • NPI 1649504143
  Medicare reassignment Authorized official
• Tennessee Vascular and Thoracic Surgical Associates, PC

  • Specialist
  • Tullahoma, TN
  • NPI 1093263055
  NPD (past)
• Cardiology Associates of Polk County

  • Specialist
  • Lakeland, FL
  • NPI 1861693616
  NPD (past)

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

• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation
• Southern Tennessee Medical Center LLC

  dba Highpoint Health - Winchester with Ascension Saint Thomas

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1316974637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD STE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-967-7227",
            "fax_number": "931-967-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD STE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-967-7227",
            "fax_number": "931-967-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASARABA",
        "first_name": "MIRCEA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME87246",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD45417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062994400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ballard Family Medical, Inc (Ballard Family Medical)
• Brandy Denise Ballard, N.P.
• Misty Dawn Barrett, PTA
• Sherry Barstad, APN
• Nathan W Barstow, MSPT
• Jennifer Fay Bean Bradford, COTA/L
• Ryan Bearer, D.O.
• Nancy Yoakum Blevins, MD
• Blue Front Drug, Inc (Blue Front Drug)
• Blue Front Drug, LLC

• Cardiovascular Disease Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.

Verify at the official NPI Registry.