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PRATIVA BASNET M.D
NPI 1225203755
Family Medicine in Framingham, MA

Active since April 25, 2008PECOS EnrolledAccepts Medicare Assignment
354 WAVERLY ST, FRAMINGHAM, MA 01702(508) 270-5700 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prativa Basnet M.d NPPES

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

PRATIVA BASNET M.D (NPI 1225203755) is an individual family medicine provider in Framingham, Massachusetts, licensed in Massachusetts (247420) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1225203755
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRATIVA BASNETCredential: M.D
Location Address354 WAVERLY STFramingham, MA 01702-7079
Mailing Address354 Waverly StFramingham, MA 01702-7079 · (508) 270-5700
Phone(508) 270-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 25, 2008
Last NPPES UpdateMay 27, 2014
✔ NPI 1225203755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 247420✔ Licensed in PA · MT 192134✔ Licensed in ME · EC091017
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
354 WAVERLY ST, Framingham, MA 01702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prativa Basnet M.d 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 ID6800067802
PECOS Enrollment IDI20110923000292
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Prativa Basnet reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atrius Health, Inc.
8.9 mi
Internal Medicine
230 WORCESTER ST
Wellesley, MA 02481
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1972717635 (781) 431-5200
Mass General Brigham Medical Group Suburban Massachusetts Inc
9.4 mi
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
NPI 1538191218 (617) 243-6262
Steward Medical Group, Inc
13 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
139 services139 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
66 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01702 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

KRYSTAL CALCANO
Registered Nurse
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 270-5700
KIMBERLY LAWSON
Social Worker (Clinical)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 872-3333
KATELYN ANN DEHEY MA/MA, NCC
Counselor (Mental Health)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 782-0091
KATHRYN CHARLOTTE DEPAOLO MA
Counselor (Mental Health)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 872-3333
BENJAMIN APGAR LCSW
Social Worker (Clinical)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 661-2020
MARCIA FERNANDA AMARAL FONTES MSW
Social Worker (Clinical)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 782-2092
NUBIA GOULART
Counselor (Mental Health)
354 WAVERLY ST
FRAMINGHAM, MA 01702
Middlesex County (508) 872-3333
HEATHER LEE LACASSE LCSW
Social Worker
354 WAVERLY ST, ADVOCATES INC.
FRAMINGHAM, MA 01702
Middlesex County (508) 661-2020

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 Prativa Basnet's NPI number?

The NPI number for Prativa Basnet is 1225203755. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Prativa Basnet located?

Prativa Basnet practices at 354 Waverly St, Framingham, MA 01702. The listed phone number is (508) 270-5700.

What is Prativa Basnet's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prativa Basnet enrolled in Medicare?

Yes. Prativa Basnet 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.

Which organizations bill Medicare for Prativa Basnet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prativa Basnet reassigns Medicare benefits to 3 organizations: Atrius Health, Inc. (Wellesley, MA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Steward Medical Group, Inc (Watertown, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prativa Basnet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prativa Basnet accept?

Health plans from Anthem Blue Cross and Blue Shield list Prativa Basnet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prativa Basnet affiliated with any hospitals?

According to CMS data, Prativa Basnet is affiliated with Emerson Hospital -, Beth Israel Deaconess Medical Center, Newton-Wellesley Hospital, Faulkner Hospital-Brigham And Women's and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Prativa Basnet was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.