Active NPI
Walter B Basen, M.D.
- Diagnostic Radiology Physician
- Germantown, MD
National Provider Identifier
1437120102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D18518
- Practice address
- 20410 Observation Dr
Suite 104
Germantown, MD 20876-4000 - Phone
- (301) 948-5700
- Fax
- (301) 212-4277
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D18518 | MD | Primary |
Addresses
Primary practice location
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Mailing address
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone (301) 948-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309761700 | Medicaid | MD |
Other names 1
- W. Barry Basen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Open MRI Inc | Past | Accepting new patients | |
| Washington Open MRI Inc | Diagnostic Radiology | Past | Accepting new patients |
| Affiliated Pet Systems LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Radiology Clinic/Center
- Silver Spring, MD
- NPI 1427071604
-
- Diagnostic Radiology Physician
- Rockville, MD
- NPI 1336184241
-
- Clinic/Center
- Oxon Hill, MD
- NPI 1619453891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1437120102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR",
"address_2": "SUITE 104",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764000",
"telephone_number": "301-948-5700",
"fax_number": "301-212-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR",
"address_2": "SUITE 104",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764000",
"telephone_number": "301-948-5700",
"fax_number": "301-212-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASEN",
"first_name": "WALTER",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D18518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309761700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "W. BARRY",
"last_name": "BASEN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.