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Deactivated NPI 1073504205 Deactivated / Inactive NPI Male Practitioner

Dr. Giacomo P Basadonna , MD

Transplant Surgery • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Giacomo Basadonna has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 05, 2005
NPI Deactivation Date May 08, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Giacomo Basadonna, MD was a registered Transplant Surgery practicing in Worcester, MA. Throughout an active medical career spanning 20 years, Dr. Basadonna provided care at the practice location at 55 LAKE AVE N until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Transplant Surgery

Worcester, MA 016550002

Telephone 5083342023
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Transplant Surgery in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Worcester, MA (27 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

Medical Specialties & State Licenses

Transplant Surgery Primary Specialty

NUCC Taxonomy Code: 204F00000X

State License MA 216291

A surgeon who specializes in transplant surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dheera Reddy

Transplant Surgery

NPI 1285048785
Nicole Tzvetkova , FNP-C

Nurse Practitioner

NPI 1366117764

Family Nurse Practitioner (Certified)

NPI 1386877900

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.), FAST, FACS

NPI 1407093172

Doctor of Medicine (M.D.), Master of Public Health

Angela D'antonio , NP

Nurse Practitioner

NPI 1407998321

Nurse Practitioner

Dr. Randolph Schaffer , MD

Transplant Surgery

NPI 1639141690

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 55 LAKE AVE N, DEPARTMENT OF TRANSPLANT SURGERY, WORCESTER, MA 016550002 (Tel: 5083342023)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 015450062 (Tel: 5083348815)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GIACOMO BASADONNA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Transplant Surgery (License #216291 in MA)

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Initial NPI Registration & Enumeration November 05, 2005

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: 1073504205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2005
Last Update: July 08, 2007
Deactivation Date: May 08, 2025

Mailing Address

Po Box 62, Turnpike Station

Shrewsbury, MA 015450062

Phone: 5083348815

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.