NISHRAJ BASNET MD
NPI 1316433816
Internal Medicine in Lansing, MI

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: July 26, 2026.

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

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
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

Accepted Insurance

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

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.

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 4

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 Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

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.

Emergency Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Anesthesiology
1215 E MICHIGAN AVE
LANSING, MI 48912
Anesthesiology
1215 E MICHIGAN AVE
LANSING, MI 48912
Radiology (Diagnostic Radiology)
1215 E MICHIGAN AVE
LANSING, MI 48912
Pediatrics (Pediatric Critical Care Medicine)
1215 E MICHIGAN AVE
LANSING, MI 48912
Radiology (Diagnostic Radiology)
1215 E MICHIGAN AVE
LANSING, MI 48912
Radiology (Diagnostic Radiology)
1215 E MICHIGAN AVE
LANSING, MI 48912
Radiology (Diagnostic Radiology)
1215 E MICHIGAN AVE
LANSING, MI 48912

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 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.

Where is Nishraj Basnet located?

Nishraj Basnet practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.

What is Nishraj Basnet's specialty?

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

Is Nishraj Basnet enrolled in Medicare?

Yes. Nishraj 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.

What insurance does Nishraj Basnet accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nishraj 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 Nishraj Basnet affiliated with any hospitals?

According to CMS data, Nishraj Basnet is affiliated with Edward W Sparrow Hospital, Sparrow Clinton Hospital, Sparrow Eaton Hospital and Sparrow Ionia Hospital.

When was this NPI record last updated?

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