BISMAH BASHARAT MD
NPI 1376115105
Internal Medicine - Rheumatology in Saginaw, MI

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
5453 HAMPTON PL, SAGINAW, MI 48604(989) 907-7636 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, May 6, 2026, Jun 17, 2024 and 2 more (5 updates tracked since 2021).

About Bismah Basharat Md NPPES

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

BISMAH BASHARAT MD (NPI 1376115105) is an individual rheumatology provider in Saginaw, Michigan, licensed in Michigan (4351048214) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1376115105
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameBISMAH BASHARATCredential: MD
Location Address5453 HAMPTON PLSaginaw, MI 48604-9284
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (216) 778-8376
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2021
Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1376115105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MI · 4351048214
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5453 HAMPTON PL, Saginaw, MI 48604

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-2323 · Fax (216) 778-8376

Accepted 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

Bismah Basharat 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 ID2769885656
PECOS Enrollment IDI20260514002022
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 Reassignment

Medicare enrollment records show Bismah Basharat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
4677 TOWNE CENTRE RD FL 2
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 125 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center
5453 HAMPTON PL
SAGINAW, MI 48604
Internal Medicine (Rheumatology)
5453 HAMPTON PL
SAGINAW, MI 48604
Specialist
5453 HAMPTON PL
SAGINAW, MI 48604

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 Bismah Basharat's NPI number?

The NPI number for Bismah Basharat is 1376115105. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Bismah Basharat located?

Bismah Basharat practices at 5453 Hampton Pl, Saginaw, MI 48604. The listed phone number is (989) 907-7636.

What is Bismah Basharat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Bismah Basharat enrolled in Medicare?

Yes. Bismah Basharat 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 organization bills Medicare for Bismah Basharat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bismah Basharat reassigns Medicare benefits to Mymichigan Medical Center Saginaw (Saginaw, MI). The 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 Bismah Basharat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bismah Basharat accept?

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

According to CMS data, Bismah Basharat is affiliated with Ascension St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Bismah Basharat was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.