Robert Bassett, M.D.

Individual provider Active NPI Orthopaedic Surgery Physician · Caribou, ME

NPI 1477548402 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1477548402
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
TD171033 (ME)
Practice address
163 Van Buren Rd
Caribou, ME 04736-3567
Phone
(207) 498-2359
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170622000593 ME Practitioner - Orthopedic Surgery 2264338094 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0425167KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Health Services Current
since Jun 12, 2017
Accepting new patients
Pines Health Services Current
since Jun 12, 2017
Accepting new patients

Locations

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Interoperability endpoints

  • Direct secure messaging: rbassett377027@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0425167 KS
Orthopaedic Surgery Physician 207X00000X TD171033 ME Yes

Addresses

Primary practice location

163 Van Buren Rd
Caribou, ME 04736-3567

Mailing address

PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2359

Other practice location 1

241 Elm Street
Claremont, NH 03743-2099
Phone (603) 542-7666

Other identifiers

IdentifierTypeStateIssuer
100161990BMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477548402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040",
            "telephone_number": "207-498-2359",
            "fax_number": "207-498-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Elm Street",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037432099",
            "country_code": "US",
            "telephone_number": "603-542-7666",
            "fax_number": "603-542-9312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0425167",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "TD171033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161990B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

All providers in Caribou, ME · Orthopaedic Surgery Physician in Maine

Sources for this page

Verify at the official NPI Registry.