Individual provider Active NPI

Philip Basile, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cambridge, MA
National Provider Identifier
1316986342
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PD1920 Issued in MA
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

Updated by the provider on Feb 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0358053MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Cambridge, MA, CCN 220002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue30
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD1920MAMDFoot & Ankle Surgery Podiatrist
1920MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot and Ankle Surgeons of New England, LLC Foot & Ankle Surgery CurrentSince Dec 18, 2010 Accepting new patients
Crimson Foot and Ankle Specialists, LLC Foot & Ankle Surgery PastSince Dec 13, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.