Abhijeet Basoor, MD
Internal Medicine, Cardiovascular Disease in Tacoma, WA. Individual provider (NPI-1).
NPI number1194993147
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1194993147
- Entity type
- Individual (NPI-1)
- Name
- Abhijeet Basoor
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2008
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD61605779 | WA | Yes |
| 207R00000X | Internal Medicine | 4301087556 | MI | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 28008 | NE | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | 28008 | NE |
Practice location
1901 S Cedar St Ste 301Tacoma, WA 98405-2302
Phone 253-572-7320 · Fax 253-627-3191
Mailing address
Po Box 5299Ms: 820-5-Pco
Tacoma, WA 98415-0299
Other practice locations
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