SIJAN BASNET M.D.
NPI 1386097202
Internal Medicine in Newark, DE
About Sijan Basnet M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIJAN BASNET M.D. (NPI 1386097202) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0029063) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Sijan 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.
Medicare Billing Reassignments
6Medicare enrollment records show Sijan Basnet reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 1,531 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, Maryland enrollment
- 512 clinicians in this Medicare group
Chadds Ford, PA 19317
- Reassigned Medicare billing, Pennsylvania enrollment
- 217 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
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 Sijan Basnet's NPI number?
The NPI number for Sijan Basnet is 1386097202. It was assigned to this individual provider in the NPPES registry on July 15, 2016.
Where is Sijan Basnet located?
Sijan Basnet practices at 200 Hygeia Dr Ste 1360, Newark, DE 19713. The listed phone number is (302) 623-1929.
What is Sijan Basnet's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sijan Basnet enrolled in Medicare?
Yes. Sijan 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 Sijan Basnet's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sijan Basnet reassigns Medicare benefits to 6 organizations: Christiana Care Health Services, Inc (Newark, DE), Union Hospital Of Cecil County, Inc. (Elkton, MD), Christiana Care Pennsylvania Inc (Chadds Ford, PA), Phoenixville Clinic Company LLC (Phoenixville, PA), Tower Health Medical Group (Philadelphia, PA) and 1 more organization, listed in the Medicare section above. 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 Sijan Basnet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sijan Basnet affiliated with any hospitals?
According to CMS data, Sijan Basnet is affiliated with Reading Hospital.
When was this NPI record last updated?
The NPPES record for Sijan Basnet was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sijan Basnet, M.D. · NPI 1386097202
Internal Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since July 15, 2016.
## Identity
- **NPI:** 1386097202 (Entity type: Individual)
- **Enumerated:** July 15, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C1-0029063 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HYGEIA DR STE 1360, Newark, DE 19713-2049
- **Phone:** (302) 623-1929 · **Fax:** (302) 368-7943
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services, Inc (NPI 1003850504, Newark, DE); Union Hospital Of Cecil County, Inc. (NPI 1407607450, Elkton, MD); Christiana Care Pennsylvania Inc (NPI 1013740745, Chadds Ford, PA); Phoenixville Clinic Company LLC (NPI 1275173957, Phoenixville, PA); Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386097202) · Data from the CMS NPPES public registry.