Leopoldo Mario Basilico, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6534 Issued in TX

Practice address

7522 Campbell Rd
Suite 100
Dallas, TX 75248-1784

Phone

(972) 267-6653

Fax

(972) 248-3604

NPI assigned

Jan 25, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: lbasilico@direct.uspi.com

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.

• Bachman Lake Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1295784973
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508836248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481784",
            "telephone_number": "972-267-6653",
            "fax_number": "972-248-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481784",
            "telephone_number": "972-267-6653",
            "fax_number": "972-248-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILICO",
        "first_name": "LEOPOLDO",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092507501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Bashaw, OD
• Anna Y Bashmakov, DO
• David Bashover
• Sindhu Salu Basil
• Jessica Basile, CRNA
• Jared David Basinger
• Loren Basinger, AGACNP-BC
• Aida Basirat, MD
• Mujeeb Basit, MD
• Saadia Basit, D.M.D

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.