Active NPI
Philip Basile, DPM
- Foot & Ankle Surgery Podiatrist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PD1920
- Practice address
- 330 Mount Auburn St
Division of Podiatry
Cambridge, MA 02138-5502 - Phone
- (617) 499-5065
- Fax
- (617) 321-4075
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PD1920 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Division of Podiatry
Cambridge, MA 02138-5502
Mailing address
464 Common St # 307
Belmont, MA 02478-2704
Phone (888) 352-0082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0358053 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060404000445 | MA | Practitioner - Podiatry | 3577571454 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Mount Auburn St
Suite 519
Cambridge, MA 02138-5665
Phone (617) 354-3131
Hospital & facility affiliations
- Mount Auburn Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 24 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 30 |
| Removal or shaving of skin growth | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD1920 | MA | MD | Foot & Ankle Surgery Podiatrist |
| 1920 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot and Ankle Surgeons of New England, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Crimson Foot and Ankle Specialists, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Mount Auburn Hospital | Past | Accepting new patients | |
| Affiliates in Podiatry PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
464 Common St
Belmont, MA 02478
Phone (339) 225-5412
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
300 Mount Auburn St
Ste 519
Cambridge, MA 02138
Phone (617) 354-3131
Interoperability endpoints
- pbasile255372@direct.bilh.masshiway.net
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Cambridge, MA
- NPI 1467759977
Foot & Ankle Surgery, MA
-
- Foot & Ankle Surgery Podiatrist
- Cambridge, MA
- NPI 1982070173
Foot & Ankle Surgery
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
Hospital & facility affiliations 1
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": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298073600000",
"number": "1316986342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 COMMON ST # 307",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782704",
"telephone_number": "888-352-0082",
"fax_number": "617-321-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"address_2": "DIVISION OF PODIATRY",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5065",
"fax_number": "617-321-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILE",
"first_name": "PHILIP",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2011-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "PD1920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0358053",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.