SANGITA BASNET
NPI 1053193193
Nurse Practitioner - Family in Frederick, MD
About Sangita Basnet NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANGITA BASNET (NPI 1053193193) is an individual family provider in Frederick, Maryland, licensed in Maryland (F10230564) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of George Washington University School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sangita Basnet is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sangita Basnet reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Frederick, MD 21702
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, Maryland enrollment
- 339 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, Maryland enrollment
- 668 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Frederick Health Hospital
Acute Care Hospitals · Frederick, MDJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sangita Basnet's NPI number?
The NPI number for Sangita Basnet is 1053193193. It was assigned to this individual provider in the NPPES registry on October 13, 2023.
Where is Sangita Basnet located?
Sangita Basnet practices at 1804 Ledo Ln, Frederick, MD 21702. The listed phone number is (608) 960-1359.
What is Sangita Basnet's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sangita Basnet enrolled in Medicare?
Yes. Sangita Basnet is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sangita Basnet's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sangita Basnet reassigns Medicare benefits to 3 organizations: Usha Sivakumar MD LLC (Frederick, MD), Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Sangita Basnet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sangita Basnet affiliated with any hospitals?
According to CMS data, Sangita Basnet is affiliated with Frederick Health Hospital and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Sangita Basnet was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Sangita Basnet · NPI 1053193193
Family physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since October 13, 2023.
## Identity
- **NPI:** 1053193193 (Entity type: Individual)
- **Enumerated:** October 13, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F10230564 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1804 LEDO LN, Frederick, MD 21702-1639
- **Phone:** (608) 960-1359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Usha Sivakumar MD LLC (NPI 1033676143, Frederick, MD); Privia Care Center LLC (NPI 1164874426, Arlington, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** October 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053193193) · Data from the CMS NPPES public registry.