NISHRAJ BASNET MD
NPI 1316433816
Internal Medicine in Lansing, MI

Q: What is Nishraj Basnet's NPI number?

The NPI number for Nishraj Basnet is 1316433816. It was assigned to this individual provider in the NPPES registry on July 8, 2018.

Q: What is Nishraj Basnet's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishraj Basnet was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 08, 2018PECOS EnrolledAccepts Medicare Assignment

1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2023, Jul 8, 2018 (2 updates tracked since 2018).

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About Nishraj Basnet Md NPPES

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

NISHRAJ BASNET MD (NPI 1316433816) is an individual internal medicine provider in Lansing, Michigan, licensed in Michigan (4301503300) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316433816

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNISHRAJ BASNETCredential: MD

Location Address1215 E MICHIGAN AVELansing, MI 48912-1811

Mailing Address1114 Kimberly DrLansing, MI 48912-4823

Phone(517) 364-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 8, 2018

Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2023

✔ NPI 1316433816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301503300

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1215 E MICHIGAN AVE, Lansing, MI 48912

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Nishraj Basnet 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 ID2769884022

PECOS Enrollment IDI20210708001951

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

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

Edward W. Sparrow Hospital Association

Same address

Hospitalist

1215 E MICHIGAN AVE FL 7
Lansing, MI 48912

Reassigned Medicare billing, Michigan enrollment
916 clinicians in this Medicare group

NPI 1164478822 (517) 364-3380

Sparrow Specialty Hospital

Same address

Long Term Care Hospital

1215 E. MICHIGAN AVE, 8W TOWER
Lansing, MI 48912

Reassigned Medicare billing, Michigan enrollment
104 clinicians in this Medicare group

NPI 1437655842 (517) 364-2614

Vituity - Michigan Hospitalists PC

Same address

Hospitalist

1215 E MICHIGAN AVE
Lansing, MI 48912

Reassigned Medicare billing, Michigan enrollment
115 clinicians in this Medicare group

NPI 1487278156 (517) 364-1000

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 4

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.

332 services121 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.

163 services88 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.

97 services95 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.

61 services60 patients

Hospital Affiliations CMS Care Compare 3

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231327

Location321 E Harris StreetCharlotte, MI 48813 · Eaton County

Emergency services

Sparrow Ionia Hospital

Critical Access Hospitals · Ionia, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231331

Location3565 S State RoadIonia, MI 48846 · Ionia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$87.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology