Nicole Reyes Basa, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7029 Issued in TX

Practice address

1410 Medical Pkwy
Suite 1
Cedar Park, TX 78613-7464

Phone

(512) 260-3444

Fax

(512) 260-3555

NPI assigned

Sep 6, 2006

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

Rush Medical College of Rush University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Park Surgeons PAGroup PAC ID 6901996909, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicolebasa@cpspa.allscriptsdirect.net

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.

• Cedar Park Surgeons PA

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1265620991
  Medicare reassignment Care Compare group Authorized official
• Cedar Park Bariatrics

  dba B & A Surgeons

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1396643573
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cedar Park Health System LLC

  dba Ascension Seton Cedar Park

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1508969452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY",
            "address_2": "SUITE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137464",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY",
            "address_2": "SUITE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137464",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASA",
        "first_name": "NICOLE",
        "middle_name": "REYES",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krupali Barad, PT
• Barden Medical Management, LLC (Easter Medical Staffing)
• Earley Barnes -Ullrich, LCSW
• Blair Russ Barnett, D.D.S., M.S.
• Mikailah Elise Barrus
• Nabanita Basu, M.D.
• William Batten, D.D.S.
• Greg Bauer, L.A.T., A.T.C.
• Jenny Morales Bauerlein, LCSW
• Ramya Baumgardner, MD

• Surgery Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.