DR. ENRICA BASILICO (M.D.) – Internal Medicine Physician, NPI 1053348896
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for DR. ENRICA BASILICO (M.D.)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
1124 COLUMBIA ST STE 400
SEATTLE, WA 981042053
Phone: (206) 215-2090
Fax: (206) 215-3099
Type: Location
904 7TH AVE
SEATTLE, WA 981041132
Phone: (206) 860-5499
Type: Location
515, Minor Avenue, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981042120
Phone: (206) 386-9500
Fax: (206) 576-3802
Type: Mailing
PO BOX 5127
EVERETT, WA 982065127
Phone: (206) 860-5414
Fax: (206) 568-7043
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $366.
Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Novo Nordisk Inc ($366).
Total Amount
$366
General + Research + Ownership
Payments
3
Total payment records
General Amount
$366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $366 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140519001664 | I | Internal Medicine | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 127 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 121 | 64 | $0 |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes | 47 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | WA | |
| Nurse Practitioner | CA | |
| R H E U M A T O L O G Y | WA | |
| - | WA | |
| - | WA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | WA | |
| Clinical Social Worker | WA | |
| N E P H R O L O G Y | WA | |
| - | WA | |
| O T O L A R Y N G O L O G Y | OR |
Reviews
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