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DR. AMANDA WALTON BASFORD M.D. NPI 1003834904


NPI Information

NPI: 1003834904
Provider Name: DR. AMANDA WALTON BASFORD, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
6565 FANNIN ST
FONDREN 270
HOUSTON, TX
ZIP 77030
Phone: (713) 441-0006
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DR. Amanda Walton Basford, M.D. is a nephrology internal medicine in Houston, TX with 21 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Amanda Walton Basford, M.D. NPI is 1003834904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

6565 FANNIN ST
FONDREN 270
HOUSTON, TX
ZIP 77030-703
Phone: (713) 441-0006
Fax: (713) 790-2797

The NPI 1003834904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 9/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineM1496TEXASNo
2207RN0300XInternal MedicineNephrologyM1496TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00947183OTHERTEXASMEDICARE RR
2094010801MEDICAIDTEXAS
3184374004MEDICAIDTEXAS
4TXB119549MEDICARE PINTEXAS
51003834904OTHERTEXASBLUE CROSS BLUE SHIELD
6TXB110289OTHERMEDICARE PTAN
7I60170MEDICARE UPIN
8184374001MEDICAIDTEXAS
900J21AMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.