Active NPI
Abhijit Basu, M.D.
- Surgery Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME92926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2696731 | Other | FL | CIGNA |
| 03577 | Other | FL | BLUE CROSS BLUE SHIELD |
| 53733 | Other | FL | NEIGHBORHOOD HEALTH |
| P00268555 | Other | FL | RAILROAD MEDICARE |
| 298286 | Other | FL | AVMED |
| 7276705 | Other | AETNA | |
| I36343 | Other | FL | VISTA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050812000189 | FL | Practitioner - Colorectal Surgery (Proctology) | 5496784175 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | 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
- 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.
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plantation, FL
- NPI 1972060648
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holy Cross Hospital Inc
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
- Holy Cross Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.