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DR. GURPREET BASRAON M.D.
NPI 1003341082
Pediatrics in Austin, TX

Active since April 27, 2017PECOS Enrolled
12201 RENFERT WAY STE 105, AUSTIN, TX 78758(877) 800-5722 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Mar 4, 2024, Mar 23, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Gurpreet Basraon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GURPREET BASRAON M.D. (NPI 1003341082) is an individual pediatrics provider in Austin, Texas, licensed in Texas (T7164) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003341082
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GURPREET BASRAONCredential: M.D.
Location Address12201 RENFERT WAY STE 105Austin, TX 78758-5362
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Sole ProprietorNo
Enumeration DateApril 27, 2017
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1003341082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · T7164
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 306688 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12201 RENFERT WAY STE 105, Austin, TX 78758
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Secondary Practice Locations 2

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (718) 780-3000
Location 22423 Williams Dr Ste 103Georgetown, TX 78628-3200 · Phone (877) 800-5722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gurpreet Basraon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gurpreet Basraon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lone Star Circle Of Care
Same address
Federally Qualified Health Center (FQHC)
12201 RENFERT WAY STE 220
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
NPI 1831770585 (877) 800-5722
Emergency Care Services Of New York, P.C.
1,473 mi
Emergency Medicine
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Emergency Care Services Of New York PC
  • 240 clinicians in this Medicare group
NPI 1639236656 (315) 448-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gurpreet Basraon's NPI number?

The NPI number for Gurpreet Basraon is 1003341082. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Gurpreet Basraon located?

Gurpreet Basraon practices at 12201 Renfert Way Ste 105, Austin, TX 78758. The listed phone number is (877) 800-5722.

What is Gurpreet Basraon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gurpreet Basraon enrolled in Medicare?

Yes. Gurpreet Basraon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gurpreet Basraon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gurpreet Basraon reassigns Medicare benefits to 2 organizations: Lone Star Circle Of Care (Austin, TX) and Emergency Care Services Of New York, P.C. (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gurpreet Basraon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gurpreet Basraon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Gurpreet Basraon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gurpreet Basraon was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.