Individual provider Active NPI

Muralidharan R Basker, MD

  • Surgery Physician
  • Colonial Heights, VA
National Provider Identifier
1972543650
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101242053 Issued in VA
Practice address
16021 Kairos Road
Suite a
Colonial Heights, VA 23834-5205
Phone
(804) 415-8966
Fax
(804) 451-1852
NPI assigned
Jun 8, 2006
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101242053 VA Primary

Addresses

Primary practice location

16021 Kairos Road
Suite a
Colonial Heights, VA 23834-5205

Mailing address

11525 Sinker Creek Dr
Chester, VA 23836-5427
Phone (804) 731-9367

Other identifiers 1

IdentifierTypeStateIssuer
1891088449OtherVAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080116000480 VA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 6709899008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4720 Puddledock Rd
Suite 100B
Prince George, VA 23875-1275
Phone (804) 415-8966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242053VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia Hiram W. Davis Medical Center Past Accepting new patients
John Randolph Surgeons LLC Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: muralidharan.basker.1@12259.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1972543650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 SINKER CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238365427",
            "telephone_number": "804-731-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 KAIROS ROAD",
            "address_2": "SUITE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345205",
            "telephone_number": "804-415-8966",
            "fax_number": "804-451-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKER",
        "first_name": "MURALIDHARAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101242053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891088449",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.