Individual provider Active NPI

Maria Fernanda Rosero Basurto, M.D.

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1790190718
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME143240 Issued in FL
Practice address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone
(813) 779-6303
Fax
(786) 868-0012
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME143240 FL Primary

Addresses

Primary practice location

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Mailing address

16400 S Highway 25
Weirsdale, FL 32195-2442
Phone (352) 821-9797

Other practice location 1

450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012
Phone (718) 270-8867

Other practice location 2

16400 S Highway 25
Weirsdale, FL 32195-2442
Phone (352) 821-9797

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
I20200519000838 FL Practitioner - Family Practice 5799116133 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Dade City, FL, CCN 108170
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Mar 5, 2025 Accepting new patients
Weirsdale Family Health Center Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Eastside Hospitalists Inc CurrentSince Aug 1, 2024 Accepting new patients
Louis J Radnothy DO PA Family Medicine CurrentSince Jul 6, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Mar 5, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine Current Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Mar 5, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Mar 5, 2025 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

390 S Central Ave
Umatilla, FL 32784
Phone (352) 669-3175

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

16400 S Highway 25
Weirsdale, FL 32195
Phone (352) 821-9797

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJJAD

Organizations & group practices 8

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 4

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1790190718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 S HIGHWAY 25",
            "city": "WEIRSDALE",
            "state": "FL",
            "postal_code": "321952442",
            "telephone_number": "352-821-9797",
            "fax_number": "352-821-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "786-868-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "Box 1262",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-8867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16400 S Highway 25",
            "address_purpose": "LOCATION",
            "city": "Weirsdale",
            "state": "FL",
            "postal_code": "321952442",
            "country_code": "US",
            "telephone_number": "352-821-9797",
            "fax_number": "352-821-0553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSERO BASURTO",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.