ROSS BASHAM
NPI 1811631435
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Ross Basham's NPI number?

The NPI number for Ross Basham is 1811631435. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Ross Basham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ross Basham was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 21, 2022PECOS Enrolled

401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202(502) 588-4720 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2025, Apr 30, 2024, Apr 21, 2022 (3 updates tracked since 2022).

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About Ross Basham NPPES

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

ROSS BASHAM (NPI 1811631435) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811631435

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROSS BASHAM

Location Address401 E CHESTNUT ST UNIT 310Louisville, KY 40202-5703

Mailing Address401 E Chestnut St Unit 310Louisville, KY 40202-5703 · (502) 588-4720

Phone(502) 588-4720

Sole ProprietorYes

Enumeration DateApril 21, 2022

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1811631435 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.

401 E CHESTNUT ST UNIT 310, Louisville, KY 40202

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Other Identifiers 1

Medicaid1011322706KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ross Basham 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 20

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

BRAD STEVEN SUTTON MD

Internal Medicine (Cardiovascular Disease)