Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962413385 Individual Practitioner Male Practitioner

Dr. Daniel J Basulto , MD

General Practice • Surfside, FL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Basulto, MD is a registered healthcare professional specializing in General Practice in Surfside, FL. Practice services are available at 9208 HARDING AVE under active NPI credentials.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml1st, adm sarscov2 100mcg/0.5ml2nd, adm sarscov2 50mcg/0.25mlbst. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9208 Harding Ave

Surfside, FL 331543010

Telephone 7862528261
Associated Practice Facility / Clinic
🏢 Daniel J Basulto Md Pa Facility NPI 1407151863

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Surfside, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Surfside, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0011A Adm sarscov2 100mcg/0.5ml1st
78 78 $18.12 $18.12
0012A Adm sarscov2 100mcg/0.5ml2nd
74 73 $29.65 $29.65
0064A Adm sarscov2 50mcg/0.25mlbst
30 30 $41.85 $41.85

Medical Specialties & State Licenses

CMS Verified: 2026-04-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME81034

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 21, 2026

Registered at 9208 HARDING AVE, SURFSIDE, FL 331543010 (Tel: 7862528261)

NPI Profile Active January 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2011

Registered at 4578 W 12TH AVE, HIALEAH, FL 330123325 (Tel: 3058281989)

📍
Updated Business Mailing Address January 17, 2011

Registered at 9208 HARDING AVE, SURFSIDE, FL 331543010 (Tel: 7862528261)

👤
Provider Name / Credentials Updated January 17, 2011

Recorded as DANIEL BASULTO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2011

General Practice (License #ME81034 in FL)

🟢
Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962413385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: April 21, 2026
Sole Proprietor: Yes

Mailing Address

9208 Harding Ave

Surfside, FL 331543010

Phone: 7862528261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.