Paul T Basile, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004455 Issued in IL

Practice address

215 Remington Blvd Ste A2
Bolingbrook, IL 60440-3657

Phone

(630) 226-9860

Fax

(630) 312-8662

NPI assigned

Jun 13, 2005

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Merit-based Incentive Payment System (MIPS)

Final score

92.62 of 100Reported as group

Quality

82.03

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suburban Foot & Ankle Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Bolingbrook, IL
  • NPI 1487860698
  Medicare reassignment NPD
• Suburban Foot & Ankle Associates, Inc

  • Non-Pharmacy Dispensing Site
  • Plainfield, IL
  • NPI 1487905089
  NPD Authorized official

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

• Adventist Bolingbrook Hospital

  dba Adventhealth Bolingbrook

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1417951898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE A2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403657",
            "telephone_number": "630-226-9860",
            "fax_number": "630-312-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE A2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403657",
            "telephone_number": "630-226-9860",
            "fax_number": "630-312-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "09922757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sameer A. Barkatullah, M.D.
• Evangelia Barkonikos, PHARMD
• Abigail Barnes, O.D.
• Elianna Barrios, LCPC
• Marla Kay Bartman
• Andrea L Bateman, OT
• Jennifer R Bates, DPT
• Ali H Bawamia, MD
• Pranusha Naidu Baxi, MD
• Bear Chiropractic and Rehab LLC

• Foot & Ankle Surgery Podiatrist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.