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

Marten Basta, MD

Individual provider Plastic Surgery Physician · NPI 1194103648

Marten Basta, MD is a Plastic and Reconstructive Surgery in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Rhode Island.

Years since qualifying
4
Licensed in
FL, RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (888) 663-3488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-4188

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME157378 (FL)
Plastic Surgery Physician Taxonomy 208200000X · Licence LP03411 (RI)

Record details

NPI number1194103648
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2015
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing addressPo Box 198441, Atlanta, GA 30384-8441

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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