Individual provider Active NPI

Elizabeth Basler, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1689668394
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
HO163 Issued in TX
Practice address
7505 South Main
Suite 530
Houston, TX 77030-4524
Phone
(713) 799-1129
Fax
(713) 799-1023
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X HO163 TX Primary

Addresses

Primary practice location

7505 South Main
Suite 530
Houston, TX 77030-4524

Mailing address

7505 South Main
Suite 530
Houston, TX 77030-4524
Phone (713) 799-1129

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100810000497 TX Practitioner - Dermatology 9335295864 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HO163TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Apr 1, 2018 Accepting new patients

Locations

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

7505 Main St
Ste 300
Houston, TX 77030
Phone (713) 799-1129

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1689668394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SOUTH MAIN",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304524",
            "telephone_number": "713-799-1129",
            "fax_number": "713-799-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SOUTH MAIN",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304524",
            "telephone_number": "713-799-1129",
            "fax_number": "713-799-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "HO163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.