NPIMap

Individual provider Active NPI

David A Basel, MD

  • Internal Medicine Physician
  • Harrisburg, SD
National Provider Identifier
1669451340
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8708 Issued in SD
Practice address
220 S Cliff Ave # 120
Harrisburg, SD 57032-2117
Phone
(605) 213-8000
Fax
(605) 213-8005
NPI assigned
Jan 11, 2006
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8708 SD Primary
Pediatrics Physician 208000000X 8708 SD

Addresses

Primary practice location

220 S Cliff Ave # 120
Harrisburg, SD 57032-2117

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 504-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20130426000302 SD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2365437555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8708SDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 1, 2013 Accepting new patients
Avera McKennan Internal Medicine CurrentSince May 1, 2013 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Mercy Medical Center Past Accepting new patients
Cedar Rapids Medical Education Foundation PastSince Apr 30, 2003 Accepting new patients

Locations

220 S Cliff Ave
Ste 120
Harrisburg, SD 57032
Phone (605) 213-8000

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

Interoperability endpoints

  • Direct secure messaging: david.basel@avera.sdhealthlink.net

Organizations & group practices 9

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.

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1669451340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-504-5400",
            "fax_number": "605-504-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CLIFF AVE # 120",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322117",
            "telephone_number": "605-213-8000",
            "fax_number": "605-213-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASEL",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "8708",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "8708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, SD

Sources for this page

Verify at the official NPI Registry.