NPIMap

Individual provider Active NPI

Jeffrey Basa, M.D.

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1992851323
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8079 Issued in NV
Practice address
180 E Winnie LN
Carson City, NV 89706-2268
Phone
(775) 204-4000
Fax
(775) 234-4605
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8079 NV Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 8079 NV
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 8079 NV

Addresses

Primary practice location

180 E Winnie LN
Carson City, NV 89706-2268

Mailing address

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Other practice location 1

5538 Longley Ln Ste B
Reno, NV 89511-1897
Phone (775) 525-9353

Other practice location 2

2874 N Carson St
Suite 200
Carson City, NV 89706-0251
Phone (775) 445-7170

Other practice location 3

5538 Longley Ln Ste B
Reno, NV 89511-1897
Phone (775) 852-6002

Other identifiers 3

IdentifierTypeStateIssuer
NV0116OtherNVBCBS PROVIDER #
002013094MedicaidNV
110218907OtherNVRAILROAD MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000829 NV Practitioner - Internal Medicine 0840210654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

180 E Winnie LN
Carson City, NV 89706-2268
Phone (775) 204-4000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Battle Born Home Health LLC Home health agency, Carson City, NV, CCN 297326
  • Infinity Hospice Care of Reno, LLC Hospice, Reno, NV, CCN 291530
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8079NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Mar 1, 2002 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Mar 1, 2002 Accepting new patients
Pinnacle Medical Group Hicks PC Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients
Nevada Palliative Care Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Carson Tahoe Physician Clinics Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients
CTH Physicians Clinic Internal Medicine Current Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Infinity Hospice Care LLC Past Accepting new patients

Locations

8434 E Shea Blvd
Scottsdale, AZ 85260
Phone (602) 790-6682

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

900 E Long St
Carson City, NV 89706
Phone (775) 884-7000

180 E Winnie Ln
Carson City, NV 89706
Phone (775) 546-2180

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

6330 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 659-9090

5538 Longley Ln
Ste B
Reno, NV 89511
Phone (775) 525-9353

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

15 McCabe Dr
Ste 200
Reno, NV 89511
Phone (775) 355-9411

6275 Sharlands Ave
Ste B15
Reno, NV 89523

5975 S Los Altos Pkwy
Sparks, NV 89436

Interoperability endpoints

  • Direct secure messaging: jeffreybasa@cth.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carson Tahoe Regional Medical CenterCarson City, NV, CCN 29S019 Hospital Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 11

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1992851323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E WINNIE LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062268",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5538 Longley Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895111897",
            "country_code": "US",
            "telephone_number": "775-525-9353",
            "fax_number": "866-497-4252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2874 N Carson St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060251",
            "country_code": "US",
            "telephone_number": "775-445-7170",
            "fax_number": "775-883-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5538 Longley Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895111897",
            "country_code": "US",
            "telephone_number": "775-852-6002",
            "fax_number": "775-852-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASA",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8079",
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "8079",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "8079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "NV0116",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013094",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "110218907",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.