Active NPI
Robert M. Basarab, M.D.
- Diagnostic Radiology Physician
- York, PA
National Provider Identifier
1932102399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD028803E
- Practice address
- 35 Monument Rd
Suite 201
York, PA 17403-5074 - Phone
- (717) 812-4083
- Fax
- (717) 812-2244
- NPI assigned
- May 31, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD028803E | PA | Primary |
| Nuclear Medicine Physician | 207U00000X | MD028803E | PA | |
| Nuclear Radiology Physician | 2085N0904X | MD028803E | PA | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | MD028803E | PA | |
| Nuclear Cardiology Physician | 207UN0901X | MD028803E | PA | |
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | MD028803E | PA |
Addresses
Primary practice location
35 Monument Rd
Suite 201
York, PA 17403-5074
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4083
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056566100 | Medicaid | MD | |
| 300047027 | Other | PA | RAILROAD MEDICARE |
| 129377 | Other | PA | HIGHMARK BLUE SHIELD |
| 129377YYY | Other | PA | MEDICARE PTAN |
| 1521152 | Other | PA | GATEWAY |
| 0914589 | Medicaid | PA | |
| 30123079 | Other | PA | AMERIHEALTH MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028803E | PA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRI Group, LLP | Past | Accepting new patients | |
| Lancaster Radiology Associates, LTD. | Nuclear Radiology | Past | Accepting new patients |
| MRI Group, LLP | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Lancaster, PA
- NPI 1669427100
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Lancaster, PA
- NPI 1518129196
-
- Radiology Clinic/Center
- Lancaster, PA
- NPI 1629072673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1932102399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-812-4083",
"fax_number": "717-812-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MONUMENT RD",
"address_2": "SUITE 201",
"city": "YORK",
"state": "PA",
"postal_code": "174035074",
"telephone_number": "717-812-4083",
"fax_number": "717-812-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASARAB",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD028803E",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "PA",
"license": "MD028803E",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD028803E",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "PA",
"license": "MD028803E",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "MD028803E",
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "PA",
"license": "MD028803E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056566100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300047027",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "129377",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "129377YYY",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1521152",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0914589",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "30123079",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.