Individual provider Active NPI

Leon A Basil, M.D.

  • Anesthesiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1346248929
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
160614 Issued in NY
Practice address
1 Webster Ave
Suite 505
Poughkeepsie, NY 12601-1361
Phone
(845) 452-0555
Fax
(845) 452-0550
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 160614 NY Primary

Addresses

Primary practice location

1 Webster Ave
Suite 505
Poughkeepsie, NY 12601-1361

Mailing address

1 Webster Ave
Suite 505
Poughkeepsie, NY 12601-1361
Phone (845) 452-0555

Other identifiers 1

IdentifierTypeStateIssuer
01046579MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20111212000276 NY Practitioner - Anesthesiology 4789695016 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160614NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Apr 4, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Apr 4, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Anesthesia Associates of St. Francis, P.C Past Accepting new patients
Eastern Pain Medicine PC Past Accepting new patients

Locations

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

110 S Bedford Rd
#P
Mount Kisco, NY 10549

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

34 S Bedford Rd
#P
Mount Kisco, NY 10549
Phone (914) 244-6789

1 Webster Ave
Ste 505
Poughkeepsie, NY 12601
Phone (845) 452-0333

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1346248929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE",
            "address_2": "SUITE 505",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011361",
            "telephone_number": "845-452-0555",
            "fax_number": "845-452-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE",
            "address_2": "SUITE 505",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011361",
            "telephone_number": "845-452-0555",
            "fax_number": "845-452-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIL",
        "first_name": "LEON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "160614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01046579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.