Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Basso, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1295191112

Douglas Basso, DPM is a Podiatry in Saint Louis, Missouri. Graduated from Arizona Podiatric Med Program at Midwestern Un in 2015, 11 years ago. Practices with Touchette Regional Hospital Inc, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
11
Trained at
Arizona Podiatric Med Program at Midwestern Un
Licensed in
IL, MO
In the registry since
2016
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300
Phone: (618) 578-8667
Fax: (314) 983-9650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4105 Endicott Ct, Swansea, IL 62226-8210 — (618) 578-8667

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016.005775 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 135.000901 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 2018037270 (MO)

Record details

NPI number1295191112
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 7, 2016
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address4105 Endicott Ct, Swansea, IL 62226-8210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Graduated 2015 (11 years in practice)
Group practice Touchette Regional Hospital Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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