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MATTHEW JAMES BASARA DO
NPI 1700646551
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Active since March 20, 2024PECOS Enrolled
100 E. LANCASTER AVENUE, ANNENBERG G-10, WYNNEWOOD, PA 19096(484) 476-2000 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew James Basara Do NPPES

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

MATTHEW JAMES BASARA DO (NPI 1700646551) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700646551
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW JAMES BASARACredential: DO
Location Address100 E. LANCASTER AVENUE, ANNENBERG G-10Wynnewood, PA 19096
Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-2000
Phone(484) 476-2000
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1700646551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E. LANCASTER AVENUE, Wynnewood, PA 19096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew James Basara Do 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL GLAISHER MD
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000
MRS. MAUREEN TERESA WILSON CRNP
Nurse Practitioner (Acute Care)
100 E. LANCASTER AVENUE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-3078
MR. TYLER FOX
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, MOB SOUTH 422
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1619
ARIA JALALIAN
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000
LIN XI
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, MOB SOUTH 422
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1619
KELLY CLAIRE KOVACIK MD
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (570) 702-4387
MAIN LINE LIPID ASSOCIATES
Specialist
100 E. LANCASTER AVENUE, SUITE 356
WYNNEWOOD, PA 19096
Montgomery County (610) 649-6515
DALY COLAROSSI
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVENUE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Matthew Basara's NPI number?

The NPI number for Matthew Basara is 1700646551. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Matthew Basara located?

Matthew Basara practices at 100 E. Lancaster Avenue Annenberg G-10, Wynnewood, PA 19096. The listed phone number is (484) 476-2000.

What is Matthew Basara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Basara enrolled in Medicare?

Yes. Matthew Basara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Basara was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.