CMS-1500 Box 24J / 33a • NPI
1821121237
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
1705 BERGLUND LN, SUITE 103, VIERA, FL, 32940-6231
✓ 9-Digit EDI 837 ZIP+4 (32940-6231)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821121237 (ROGER E BASSIN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821121237 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROGER E BASSIN, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: 208200000X (Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1705 BERGLUND LN, SUITE 103, VIERA, FL, 32940-6231 |
| Practice Telephone / Fax | Tel: (321) 255-0025 | Fax: (321) 255-0027 |
| Administrative Mailing Address | 1705 BERGLUND LN, VIERA, FL, 32940-6231 |
| Enumeration & Last Sync | Enumerated: 2007-03-14 | CMS Record Updated: 2024-07-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208200000X)
What Does Taxonomy Code 208200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROGER E BASSIN, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207W00000X — OphthalmologyPlain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) | State: FL | License: ME85585 | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: FL | License: ME85585 | Primary: Yes (Primary) |
2082S0099X — Plastic Surgery, Plastic Surgery Within the Head and NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck | State: FL | License: ME85585 | Primary: Secondary |
2086S0122X — Surgery, Plastic and Reconstructive SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery | State: FL | License: ME85585 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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