Individual provider Active NPI

Abhijit Basu, M.D.

  • Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1699764530
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME92926 Issued in FL
Practice address
1940 NE 47TH St
Suite 1
Ft Lauderdale, FL 33308-7711
Phone
(954) 772-4553
Fax
(954) 771-2372
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME92926 FL Primary
Colon & Rectal Surgery Physician 208C00000X ME92926 FL

Addresses

Primary practice location

1940 NE 47TH St
Suite 1
Ft Lauderdale, FL 33308-7711

Mailing address

1940 NE 47TH St
Suite 1
Ft Lauderdale, FL 33308-7711
Phone (954) 772-4553

Other identifiers 7

IdentifierTypeStateIssuer
2696731OtherFLCIGNA
03577OtherFLBLUE CROSS BLUE SHIELD
53733OtherFLNEIGHBORHOOD HEALTH
P00268555OtherFLRAILROAD MEDICARE
298286OtherFLAVMED
7276705OtherAETNA
I36343OtherFLVISTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050812000189 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5496784175 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Jun 1, 2009 Accepting new patients
Holy Cross Hospital Inc CurrentSince Jun 1, 2009 Accepting new patients

Locations

1940 NE 47th St
#1
Ft Lauderdale, FL 33308
Phone (954) 771-3220

1960 NE 47th St
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 463-3200

4701 N Federal Hwy
Ste A39
Ft Lauderdale, FL 33308
Phone (954) 351-7770

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

Interoperability endpoints

  • Direct secure messaging: abasu2023647@direct.trinity-health.org

Organizations & group practices 3

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital Inc 299 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Holy Cross Medical Group
Oakland Park, FL 33334-4149
Phone (954) 489-4576

1000 NE 56TH St FL
2 Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 958-0626

1000 NE 56TH St Womens Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 229-8660

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

4701 N Federal Hwy
Suite A10
Fort Lauderdale, FL 33308-4608
Phone (954) 542-2900

4701 N Federal Hwy A27
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4608
Phone (954) 938-9966

4701 N Federal Hwy A39
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4608
Phone (954) 772-4553

4701 N Federal Hwy B
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4608
Phone (954) 229-6000

4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000

4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807

4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931

4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770

4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750

4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780

4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748

4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Lauderdale, FL, CCN 107680
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1699764530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 NE 47TH ST",
            "address_2": "SUITE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087711",
            "telephone_number": "954-772-4553",
            "fax_number": "954-771-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 NE 47TH ST",
            "address_2": "SUITE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087711",
            "telephone_number": "954-772-4553",
            "fax_number": "954-771-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASU",
        "first_name": "ABHIJIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME92926",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME92926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2696731",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03577",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "53733",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00268555",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "298286",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7276705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "I36343",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.