SUBASH BASTAKOTI M.D.
NPI 1770967036
Internal Medicine - Critical Care Medicine in Green Bay, WI

Q: What is Subash Bastakoti's NPI number?

The NPI number for Subash Bastakoti is 1770967036. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Q: What is Subash Bastakoti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Subash Bastakoti was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 16, 2015PECOS EnrolledAccepts Medicare Assignment

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 22, 2021, Jun 25, 2020 (2 updates tracked since 2020).

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About Subash Bastakoti M.d. NPPES

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

SUBASH BASTAKOTI M.D. (NPI 1770967036) is an individual critical care medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (72088) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains a secondary practice location in East Lansing.

NPPES Registry Identity

NPI1770967036

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameSUBASH BASTAKOTICredential: M.D.

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2377

Phone(920) 288-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 16, 2015

Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1770967036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in WI · 72088

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301108025 (MI)

2845 GREENBRIER RD, Green Bay, WI 54311

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Secondary Practice Location 1

Location 1804 Service Rd, A225East Lansing, MI 48824-7015 · Phone (517) 353-4941 · Fax (517) 432-3145

Other Identifiers 1

Medicaid100099224WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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

Subash Bastakoti 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 ID6204257330

PECOS Enrollment IDI20230822002527, I20230911001631

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

421 services175 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

47 services22 patients

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.

33 services30 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

23 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220008

Location211 Park StreetAttleboro, MA 02703 · Bristol County

Emergency services Birthing friendly

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220010

LocationOne General StreetLawrence, MA 01842 · Essex County

Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220080

Location70 East StreetMethuen, MA 01844 · Essex County

Emergency services Birthing friendly

New England Baptist Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220088

Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)