BASIL C GENETOS MD NPI 1184626590

NPI Information

NPI: 1184626590
Provider Name: BASIL C GENETOS, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-5700
Get Directions

Basil C Genetos, MD is a cardiovascular disease internal medicine in Fort Wayne, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Basil C Genetos, MD NPI is 1184626590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 266-5700
Fax: (260) 266-5920

The enumeration date for this NPI number is 8/15/2005 and was last updated on 11/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	01024857A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D94468	MEDICARE UPIN	INDIANA
2	193580F	MEDICARE PIN	INDIANA
3	0528012	MEDICAID	OHIO
4	100186010	MEDICAID	INDIANA
5	060070579	MEDICARE PIN	INDIANA
6	060070579	OTHER	INDIANA	RR MEDICARE
7	193590F	MEDICARE PIN	INDIANA
8	264380BB	MEDICARE PIN	INDIANA
9	000000641079	OTHER	INDIANA	ANTHEM

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

NPI Synchronization or Removal

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