Basil D. Fossum, M.D. PA
NPI 1154911527ActiveOrganization· Urology· Fort Walton Beach, FL
Urology in Fort Walton Beach, Florida, registered in NPPES in January 2021. The authorized official on file is Basil Duane Fossum Md Pa, M.D., Owner.
Overview
| NPI | 1154911527 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2021 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | Mar 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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