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Individual provider Active NPI

Jesse Orlando Basadre, MD PA

  • Surgery of the Hand (Surgery) Physician
  • Miami, FL
National Provider Identifier
1609941244
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME0060467 Issued in FL
Practice address
1699 SW 27 Avenue
Miami, FL 33145
Phone
(305) 857-5025
Fax
(305) 857-5024
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME0060467 FL
Surgery of the Hand (Surgery) Physician 2086S0105X ME0060467 FL Primary

Addresses

Primary practice location

1699 SW 27 Avenue
Miami, FL 33145

Mailing address

1699 SW 27TH Ave
Miami, FL 33145-2074
Phone (305) 857-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124001019 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4789872193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Northwestern University Feinberg Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1699 Sw27Th Ave
Suite 2
Miami, FL 33145-2075
Phone (305) 857-5025

Hospital & facility affiliations

  • Coral Gables Hospital Hospital, Coral Gables, FL, CCN 100183
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0060467FLMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse O Basadre MD PA Surgery of the Hand CurrentSince Jul 4, 2010 Accepting new patients
Healing Hands Therapy Group PastSince Oct 6, 2019 Accepting new patients

Locations

1699 SW 27th Ave
Miami, FL 33145
Phone (305) 857-5025

1699 SW 27th Ave
Fl 2
Miami, FL 33145
Phone (305) 670-9988

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1609941244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452074",
            "telephone_number": "305-857-5025",
            "fax_number": "305-857-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 SW 27 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-857-5025",
            "fax_number": "305-857-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASADRE",
        "first_name": "JESSE",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0060467",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME0060467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.