Individual provider Active NPI

Richard M Basile, M.D.

  • Vascular Surgery Physician
  • Pittsfield, MA
National Provider Identifier
1487643656
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
43007 Issued in MA
Practice address
369 South St
Suite 1
Pittsfield, MA 01201-6803
Phone
(413) 281-3752
NPI assigned
Oct 19, 2005
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 43007 MA Primary

Addresses

Primary practice location

369 South St
Suite 1
Pittsfield, MA 01201-6803

Mailing address

369 South St
PO Box 1366
Pittsfield, MA 01201-6803
Phone (413) 281-3752

Other identifiers 1

IdentifierTypeStateIssuer
9751785MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Surgical Associates, PC PastSince Aug 1, 2008 Accepting new patients
Berkshire Medical Center Inc. PastSince Oct 1, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richardbasile@bfs.medalliesdirect.net

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, 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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1487643656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "address_2": "PO BOX 1366",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-281-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "address_2": "SUITE 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-281-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "43007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751785",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.