Active NPI
Deborah Anne Basso, M.D.
- Obstetrics & Gynecology Physician
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 168265
- Practice address
- 1300 Massachusetts Ave
Depaul Wing
Troy, NY 12180-1628 - Phone
- (518) 268-5890
- Fax
- (518) 268-5596
- NPI assigned
- May 5, 2006
- Last updated
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 168265 | NY | Primary |
Addresses
Primary practice location
1300 Massachusetts Ave
Depaul Wing
Troy, NY 12180-1628
Mailing address
PO Box 689
Troy, NY 12181-0689
Phone (518) 268-5000
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141655014 | Other | NY | EMPIRE PLAN |
| 000406556008 | Other | NY | BLUE SHIELD |
| 0005402789 | Other | NY | AETNA |
| 141655014 | Other | NY | UNITED HEALTHCARE |
| 311991 | Other | NY | WELLCARE |
| 6999952 | Other | NY | GHI |
| 01213390 | Medicaid | NY | |
| 15289 | Other | NY | MVP |
| 743C71 | Other | NY | BLUE CROSS |
| 86303 | Other | NY | GHIHMO |
| 050202000029 | Other | NY | FIDELIS |
| 10000117 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168265 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| OBGYN Hospitalist Medical Services of New York, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| St. Peter's Health Partners Medical Associates, P.C. | Current | Accepting new patients | |
| OB/GYN Health Center Associates, LLP | Obstetrics & Gynecology | Past | Accepting new patients |
| Paul E Lemanski MD PLLC | Past | Accepting new patients | |
| Mary Imogene Bassett Hospital | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2 Palisades Dr
Ste 200
Albany, NY 12205
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000
147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
2231 Burdett Ave
Ste 110
Troy, NY 12180
Phone (518) 271-3900
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
- Niskayuna, NY
- NPI 1518285055
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Obstetrics & Gynecology
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- Obstetrics & Gynecology Physician
- Troy, NY
- NPI 1134144298
-
- Internal Medicine Physician
- Albany, NY
- NPI 1447720271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1740238203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689",
"city": "TROY",
"state": "NY",
"postal_code": "121810689",
"telephone_number": "518-268-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MASSACHUSETTS AVE",
"address_2": "DEPAUL WING",
"city": "TROY",
"state": "NY",
"postal_code": "121801628",
"telephone_number": "518-268-5890",
"fax_number": "518-268-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSO",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "168265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "141655014",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000406556008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005402789",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "141655014",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "311991",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6999952",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01213390",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "15289",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "743C71",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHIHMO",
"identifier": "86303",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050202000029",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000117",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.