Active NPI
Hugo Romulo Basterrechea Jr., MD
- Emergency Medicine Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- FB1501560
- Practice address
- 200 N Lakemont Ave
Winter Park, FL 32792 - Phone
- (407) 646-7351
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | FB1501560 | FL | Primary |
Addresses
Primary practice location
200 N Lakemont Ave
Winter Park, FL 32792
Mailing address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (407) 875-0555
Other practice location 1
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
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 |
|---|---|---|---|---|
| I20090924000199 | FL | Practitioner - Emergency Medicine | 7315093853 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of FL LLC
Practice addresses (Care Compare)
2361 N Semoran Blvd
Baldwin Park ER
Orlando, FL 32807-3714
Phone (407) 359-6010
Hospital & facility affiliations
- Oviedo Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FB1501560 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Specialists of Jacksonville | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Central Florida LLP | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
950 Rinehart Rd
Lake Mary, FL 32746
Phone (407) 303-2200
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010
1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
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.
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-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
Emergency Medicine, FL
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
Emergency Medicine, FL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1740452002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "407-875-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N LAKEMONT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-646-7351"
}
],
"practiceLocations": [
{
"address_1": "1 Shircliff Way",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044748",
"country_code": "US",
"telephone_number": "904-308-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTERRECHEA",
"first_name": "HUGO",
"middle_name": "ROMULO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "FB1501560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.