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MR. BASANTA SUBEDI MD
NPI 1124683495
Hospitalist in St Louis, MO

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
6420 CLAYTON ROAD, ST LOUIS, MO 63117(314) 768-8000 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Jan 30, 2023, Dec 12, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Basanta Subedi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BASANTA SUBEDI MD (NPI 1124683495) is an individual hospitalist provider in St Louis, Missouri, licensed in Missouri (2022025499) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124683495
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. BASANTA SUBEDICredential: MD
Location Address6420 CLAYTON ROADSt Louis, MO 63117
Mailing Address6420 Clayton RoadSt Louis, MO 63117 · (314) 768-8000
Phone(314) 768-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 2, 2019
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1124683495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MO · 2022025499
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2022025499 (MO)
6420 CLAYTON ROAD, St Louis, MO 63117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Basanta Subedi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486039377
PECOS Enrollment IDI20220913002271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
54 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKRITI KHADGA MBBS, MD
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
KIRANKUMAR AMRUTLAL PRAJAPATI
Internal Medicine
6420 CLAYTON ROAD, ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINE
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8778
ASLANBI TEZEKBAY M.D.
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPARTMENT OF INTERNAL MEDICINE, SSM HEALTH ST. MARY'S
ST LOUIS, MO 63117
St. Louis County (314) 768-8778
JEFFREY OWEN BRAY DO
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
MR. ASHUTOSH UPADHYAYA M.B.B.S
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT. OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
MS. MARIE FLORETTA CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
KUMIKO SHIMODA MD
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
DIVYA MOTKUR M.D.
Internal Medicine
6420 CLAYTON ROAD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 968-8374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basanta Subedi's NPI number?

The NPI number for Basanta Subedi is 1124683495. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Basanta Subedi located?

Basanta Subedi practices at 6420 Clayton Road, St Louis, MO 63117. The listed phone number is (314) 768-8000.

What is Basanta Subedi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Basanta Subedi enrolled in Medicare?

Yes. Basanta Subedi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Basanta Subedi affiliated with any hospitals?

According to CMS data, Basanta Subedi is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Basanta Subedi was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.