Individual provider Active NPI

David Basch, DPM

  • Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1700863313
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DB001048 Issued in MI
Practice address
43330 Mound Rd
Sterling Heights, MI 48314-2022
Phone
(586) 979-7502
Fax
(586) 979-3333
NPI assigned
Dec 23, 2005
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DB001048 MI Primary

Addresses

Primary practice location

43330 Mound Rd
Sterling Heights, MI 48314-2022

Mailing address

43330 Mound Rd
Sterling Heights, MI 48314-2022
Phone (586) 979-7502

Other identifiers 2

IdentifierTypeStateIssuer
1552288MedicaidMI
1626739MedicaidMI

Other names 1

  • David Basch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000538 MI Practitioner - Podiatry 3375659634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Basch DPM PCGroup PAC ID 3072630797, 2 clinicians

Practice addresses (Care Compare)

486 W Huron St
Pontiac, MI 48341-1602
Phone (248) 335-9970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue43
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB001048MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Basch DPM PC Podiatrist CurrentSince Oct 6, 2003 Accepting new patients

Locations

486 W Huron St
Pontiac, MI 48341
Phone (248) 335-9970

39601 Van Dyke Ave
Sterling Hts, MI 48313
Phone (586) 979-7502

39880 Van Dyke Ave
Ste 204
Sterling Hts, MI 48313
Phone (586) 843-8048

43330 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-3668

Interoperability endpoints

  • Direct secure messaging: dbasch1116509@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1700863313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43330 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142022",
            "telephone_number": "586-979-7502",
            "fax_number": "586-979-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142022",
            "telephone_number": "586-979-7502",
            "fax_number": "586-979-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCH",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DB001048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552288",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "BASCH",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.