Individual provider Active NPI

Basel Dabas, M.D.

  • Hematology & Oncology Physician
  • Live Oak, TX
National Provider Identifier
1447208384
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
K3148 Issued in TX
Practice address
12501 Judson Rd
Suite 102
Live Oak, TX 78233-4103
Phone
(210) 656-5100
Fax
(210) 656-5125
NPI assigned
May 4, 2006
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X K3148 TX Primary

Addresses

Primary practice location

12501 Judson Rd
Suite 102
Live Oak, TX 78233-4103

Mailing address

12501 Judson Rd
Suite 102
Liveoak, TX 78233-4117
Phone (210) 656-5100

Other identifiers 2

IdentifierTypeStateIssuer
1235298365OtherTXGROUP NPI
152419101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040129000596 TX Practitioner - Medical Oncology 5890697031 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology San Antonio Hematology & Oncology CurrentSince Jan 1, 2017 Accepting new patients
Radiation Oncology of San Antonio, PA Past Accepting new patients
San Antonio Wound Care LLC PastSince Mar 9, 2020 Accepting new patients

Locations

12705 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 599-0922

19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1447208384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 102",
            "city": "LIVEOAK",
            "state": "TX",
            "postal_code": "782334117",
            "telephone_number": "210-656-5100",
            "fax_number": "210-656-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 102",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-656-5100",
            "fax_number": "210-656-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAS",
        "first_name": "BASEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "K3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1235298365",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152419101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.