Individual provider Active NPI

Niladri Basu, MD

  • Orthopaedic Trauma Physician
  • Dallas, TX
National Provider Identifier
1326357666
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
S3117 Issued in TX
Practice address
221 W. Colorado Blvd.
Pavilion II Suite 933
Dallas, TX 75208
Phone
(214) 947-3684
Fax
(214) 947-3686
NPI assigned
Oct 5, 2010
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X S3117 TX
Orthopaedic Trauma Physician 207XX0801X S3117 TX Primary

Addresses

Primary practice location

221 W. Colorado Blvd.
Pavilion II Suite 933
Dallas, TX 75208

Mailing address

221 W. Colorado Blvd.
Pavilion II Suite 933
Dallas, TX 75208
Phone (214) 947-3684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017002267 TX Practitioner - Orthopedic Surgery 7719294594 Reassigns benefits to 1 organization
I20240715004300 OK Practitioner - Orthopedic Surgery 7719294594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Ardmore IncGroup PAC ID 8123011277, 13 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 223-5400

3430 W Wheatland Rd
Suite 216
Dallas, TX 75237-3447
Phone (214) 947-3684

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Melanoma (skin cancer) excision1-10
Removal of tissue35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ardmore, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Medhealth CurrentSince Oct 1, 2019 Accepting new patients
Mercy Hospital Ardmore, Inc CurrentSince Jul 1, 2024 Accepting new patients
Medhealth CurrentSince Oct 1, 2019 Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

221 W Colorado Blvd
Ste 431
Dallas, TX 75208
Phone (214) 943-1171

221 W Colorado Blvd
Ste 933
Dallas, TX 75208
Phone (214) 941-7200

3430 W Wheatland Rd
Ste 216
Dallas, TX 75237
Phone (214) 393-5007

Interoperability endpoints

  • Direct secure messaging: nbasu838688@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1326357666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD.",
            "address_2": "PAVILION II SUITE 933",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-947-3684",
            "fax_number": "214-947-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD.",
            "address_2": "PAVILION II SUITE 933",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-947-3684",
            "fax_number": "214-947-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASU",
        "first_name": "NILADRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "S3117",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "S3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.