MICHAEL H BASISTA M.D.
NPI 1548257876
Internal Medicine - Gastroenterology in Sylvania, OH

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
5700 MONROE ST UNIT 103, SYLVANIA, OH 43560(419) 843-7996(419) 841-7725 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 3, 2023, Jun 1, 2017 (2 updates tracked since 2017).

About Michael H Basista M.d. NPPES

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

MICHAEL H BASISTA M.D. (NPI 1548257876) is an individual gastroenterology provider in Sylvania, Ohio, licensed in Ohio (35052150B) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1984).

NPPES Registry Identity

NPI1548257876
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL H BASISTACredential: M.D.
Location Address5700 MONROE ST UNIT 103Sylvania, OH 43560-2771
Mailing AddressOne Seagate, Suite 800Toledo, OH 43604 · (419) 824-7250 · Fax (419) 885-3921
Fax(419) 841-7725
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1984
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPI 1548257876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 35052150B
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5700 MONROE ST UNIT 103, Sylvania, OH 43560

Other Identifiers 8

Medicaid0816040OH
Medicaid4796124MI
Other4290317Aetna
Other000000581398Anthem
Medicaid4632355MI
Other01309Paramount
Medicaid4796142MI
OtherP00659818Railroad Medicare

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

Michael H Basista 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 ID4385678945
PECOS Enrollment IDI20050929000968
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 19

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
201 services160 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services57 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
49 services49 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
37 services37 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Fostoria Community Hospital

Critical Access Hospitals · Fostoria, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361318
Location501 Van Buren StreetFostoria, OH 44830 · Seneca County

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361328
Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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 20

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

Physician Assistant
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Physician Assistant
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Internal Medicine (Gastroenterology)
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Internal Medicine (Gastroenterology)
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Nurse Practitioner
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Internal Medicine (Gastroenterology)
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Physician Assistant
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560
Internal Medicine (Gastroenterology)
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560

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 Michael Basista's NPI number?

The NPI number for Michael Basista is 1548257876. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Michael Basista located?

Michael Basista practices at 5700 Monroe St Unit 103, Sylvania, OH 43560. The listed phone number is (419) 843-7996.

What is Michael Basista's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Basista enrolled in Medicare?

Yes. Michael Basista 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 Michael Basista accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Michael Basista 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 Michael Basista affiliated with any hospitals?

According to CMS data, Michael Basista is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital, Bay Park Community Hospital, Fostoria Community Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Basista was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.