Active NPI 1437312758 Individual Practitioner Male Practitioner

Dr. Bashar Ericsoossi , MD

Internal Medicine - Nephrology • Mishawaka, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bashar Ericsoossi, MD is a certified Internal Medicine - Nephrology practicing in Mishawaka, IN. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Ericsoossi delivers high-quality medical care to the local community at 250 E DAY RD STE 300.

Dr. Ericsoossi is affiliated with Nephrology Physicians, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, radiological supervision and interpretation of imaging of artery of one arm or leg, insertion of catheter into chest or arm artery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 E Day Rd Ste 300

Mishawaka, IN 465453471

Telephone 5749680283

Fax 5749680882

Associated Practice Facility / Clinic

🏢 Nephrology Physicians Llc Facility NPI 1003357377

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Mishawaka, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -6.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Mishawaka, IN (273 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ericsoossi (19 Years) 19 Yrs

Mishawaka Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	309	154	$533.00	$217.47
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	182	103	$187.00	$76.82
36215 Insertion of catheter into chest or arm artery	181	102	$474.00	$107.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	106	78	$28.00	$11.42
36907 Balloon dilation of dialysis segment with review by radiologist	94	56	$324.00	$133.37
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	88	60	$374.00	$135.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	85	68	$41.00	$16.91
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	59	51	$698.00	$287.59
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	46	37	$659.00	$271.32
36589 Removal of central venous catheter for infusion	46	44	$307.00	$100.27
36581 Replacement of tunneled central venous tube	39	32	$412.00	$113.17
76937 Ultrasonic guidance for blood vessel access	29	27	$32.00	$13.09
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	26	22	$457.00	$188.51
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	24	16	$985.00	$406.45
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	14	13	$583.00	$222.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	221	157	$4485.32	$1439.54
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	140	111	$550.00	$214.87
36215 Insertion of catheter into chest or arm artery	135	90	$3839.61	$665.68
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	135	91	$553.57	$153.61
36215 Insertion of catheter into chest or arm artery	93	68	$489.00	$107.77
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	86	65	$193.00	$75.84
36907 Balloon dilation of dialysis segment with review by radiologist	80	62	$2195.18	$718.50
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	68	55	$2623.88	$783.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	63	55	$29.00	$11.25
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	60	53	$3562.40	$1165.05
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	58	52	$637.00	$209.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	57	48	$372.28	$90.05
36907 Balloon dilation of dialysis segment with review by radiologist	48	44	$336.00	$131.96
36581 Replacement of tunneled central venous tube	38	30	$2890.79	$685.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	32	26	$43.00	$16.66
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	30	27	$386.00	$121.42
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	29	25	$5056.31	$1652.66
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	27	19	$8459.19	$2772.22
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	26	26	$15958.46	$5218.19
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	23	23	$720.00	$283.39
36589 Removal of central venous catheter for infusion	22	22	$609.45	$163.67
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	21	$185.27	$60.80
76937 Ultrasonic guidance for blood vessel access	20	16	$145.00	$39.09
36589 Removal of central venous catheter for infusion	20	19	$317.00	$87.22
76937 Ultrasonic guidance for blood vessel access	19	16	$34.00	$13.08
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	17	15	$680.00	$267.72
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	16	16	$1019.00	$378.53
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	13	13	$472.00	$185.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	302	170	$4627.00	$1559.25
36215 Insertion of catheter into chest or arm artery	206	113	$3948.00	$703.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	198	109	$560.00	$179.85
36907 Balloon dilation of dialysis segment with review by radiologist	104	70	$2259.00	$766.99
J2997 Injection, alteplase recombinant, 1 mg	77	14	$207.27	$86.61
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	71	65	$637.00	$216.09
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	71	65	$3674.00	$1247.05
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	70	57	$2698.00	$858.10
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	57	37	$8750.00	$2974.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	53	45	$380.00	$116.68
36581 Replacement of tunneled central venous tube	35	29	$2995.00	$660.32
76937 Ultrasonic guidance for blood vessel access	33	26	$142.00	$44.32
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	30	26	$5241.00	$1780.05
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	18	18	$16636.00	$5643.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	17	$188.00	$63.82
36589 Removal of central venous catheter for infusion	17	17	$567.47	$160.95
36909 Permanent blockage of hemodialysis circuit with review by radiologist	15	12	$7465.00	$2537.04
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	15	13	$21020.00	$7143.82
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	14	13	$5475.00	$1856.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	337	204	$4991.69	$1650.99
36215 Insertion of catheter into chest or arm artery	270	157	$4188.21	$746.51
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	269	157	$597.14	$176.61
36907 Balloon dilation of dialysis segment with review by radiologist	120	79	$2542.46	$847.33
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	109	86	$4247.28	$1415.71
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	108	85	$700.59	$233.77
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	101	76	$2781.29	$837.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	93	65	$384.28	$99.07
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	69	39	$9361.48	$3127.18
J2997 Injection, alteplase recombinant, 1 mg	68	17	$210.00	$87.60
36581 Replacement of tunneled central venous tube	61	39	$3147.85	$794.25
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	35	23	$5662.31	$1872.76
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	32	29	$18933.00	$6310.93
36589 Removal of central venous catheter for infusion	32	32	$641.00	$190.38
76937 Ultrasonic guidance for blood vessel access	28	21	$140.14	$39.29
36909 Permanent blockage of hemodialysis circuit with review by radiologist	27	17	$7867.67	$2643.06
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	21	$191.18	$63.93
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	19	17	$6983.00	$2327.83
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	11	11	$23711.00	$7903.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	302	219	$4800.00	$1587.13
36215 Insertion of catheter into chest or arm artery	207	147	$3975.00	$726.32
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	206	146	$600.00	$187.45
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	94	62	$354.00	$99.62
36907 Balloon dilation of dialysis segment with review by radiologist	86	64	$2553.00	$860.86
J2997 Injection, alteplase recombinant, 1 mg	85	31	$210.00	$87.18
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	74	68	$2562.00	$753.08
36581 Replacement of tunneled central venous tube	67	44	$2967.00	$738.82
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	64	57	$4278.00	$1467.55
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	63	56	$657.00	$240.68
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	48	38	$8910.00	$2974.50
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	40	29	$5571.00	$1879.09
76937 Ultrasonic guidance for blood vessel access	24	21	$129.00	$38.40
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	24	24	$18966.00	$6399.14
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	23	21	$23544.00	$7947.67
36589 Removal of central venous catheter for infusion	22	22	$627.00	$179.48
36909 Permanent blockage of hemodialysis circuit with review by radiologist	19	16	$7377.00	$2366.53
37246 Balloon dilation of artery with review by radiologist, initial artery	13	11	$7596.00	$2167.14
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	12	12	$7743.00	$2610.25
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	12	$183.00	$61.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	391	258	$4684.73	$1521.13
36215 Insertion of catheter into chest or arm artery	256	172	$3816.60	$668.59
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	242	164	$609.13	$196.04
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	113	98	$2376.00	$711.65
36907 Balloon dilation of dialysis segment with review by radiologist	86	65	$2651.00	$870.91
J2997 Injection, alteplase recombinant, 1 mg	86	29	$210.00	$86.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	67	49	$330.00	$108.25
36581 Replacement of tunneled central venous tube	58	35	$2778.71	$709.13
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	57	53	$185.00	$60.84
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	55	44	$8663.85	$2847.14
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	43	31	$5499.88	$1785.80
76937 Ultrasonic guidance for blood vessel access	39	33	$122.00	$38.82
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	36	35	$19812.00	$6508.39
36909 Permanent blockage of hemodialysis circuit with review by radiologist	33	24	$7152.00	$2349.24
36589 Removal of central venous catheter for infusion	33	33	$605.82	$150.99
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	29	27	$24265.00	$7970.49
36908 Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation	15	13	$8851.00	$2907.19
37246 Balloon dilation of artery with review by radiologist, initial artery	13	12	$7712.00	$2143.51
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$2806.00	$844.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3010 Injection, fentanyl citrate, 0.1 mg	334	228	$3.00	$0.54
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	321	216	$4581.00	$1490.26
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	318	212	$189.00	$61.72
36215 Insertion of catheter into chest or arm artery	246	162	$3715.00	$647.12
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	237	157	$625.00	$201.69
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	111	59	$41.00	$13.57
36907 Balloon dilation of dialysis segment with review by radiologist	90	70	$2774.00	$910.11
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	85	72	$2199.00	$640.80
J2250 Injection, midazolam hydrochloride, per 1 mg	81	73	$3.00	$0.13
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	72	45	$307.00	$100.72
36581 Replacement of tunneled central venous tube	68	44	$2591.00	$581.33
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	63	57	$20675.00	$6685.73
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	57	44	$8440.00	$2769.01
J2997 Injection, alteplase recombinant, 1 mg	57	23	$210.00	$85.26
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	45	32	$5453.00	$1789.23
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	36	29	$25077.00	$8122.33
36909 Permanent blockage of hemodialysis circuit with review by radiologist	28	26	$7255.00	$2380.34
76937 Ultrasonic guidance for blood vessel access	26	23	$113.00	$36.93
36589 Removal of central venous catheter for infusion	24	23	$600.00	$147.79
J0690 Injection, cefazolin sodium, 500 mg	16	16	$6.00	$0.88
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	14	13	$2621.00	$829.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	334	206	$186.00	$76.07
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	279	186	$4471.00	$1798.23
36215 Insertion of catheter into chest or arm artery	239	162	$4127.00	$899.23
J3010 Injection, fentanyl citrate, 0.1 mg	235	172	$3.00	$0.46
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	230	155	$788.00	$240.65
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	101	54	$41.00	$16.90
J2997 Injection, alteplase recombinant, 1 mg	92	29	$210.00	$81.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	82	53	$307.00	$125.45
36581 Replacement of tunneled central venous tube	70	43	$2582.00	$829.34
36907 Balloon dilation of dialysis segment with review by radiologist	68	55	$2675.00	$1092.14
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	56	45	$8341.00	$3409.23
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	55	50	$20505.00	$8381.42
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	54	50	$2102.00	$714.48
36909 Permanent blockage of hemodialysis circuit with review by radiologist	37	29	$7189.00	$2939.40
36589 Removal of central venous catheter for infusion	35	34	$603.00	$189.04
76937 Ultrasonic guidance for blood vessel access	32	31	$112.00	$46.00
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	30	20	$5458.00	$2230.43
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist	27	27	$24865.00	$10165.52
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	24	24	$2629.00	$1073.27
36595 Mechanical removal of obstructive material from central venous catheter	20	18	$2137.00	$720.79
75901 Radiological supervision and interpretation of removal of obstructive material in catheter procedure	17	15	$645.00	$263.88
37246 Balloon dilation of artery with review by radiologist, initial artery	11	11	$7878.00	$2257.48

Medical Specialties & State Licenses

CMS Verified: 2025-08-13

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IN 01089928A

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License NY 274622

Hospital & Practice Group Affiliations

Nephrology Physicians, Llc

250 E Day Rd, Mishawaka, IN 465453471

Phone: 5749680283

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Mark Borenstein , MD

Radiology - Vascular & Interventional Radiology

NPI 1205891140

Doctor of Medicine (M.D.)

Tosha Watkins , MNT

Dietitian, Registered - Nutrition, Renal

NPI 1376543173

Dr. Samuel Milligan , MD

Internal Medicine - Nephrology

NPI 1407856271

Doctor of Medicine (M.D.)

Dr. Paul Herman , MD

Internal Medicine - Nephrology

NPI 1598765364

Doctor of Medicine (M.D.)

Dr. Sabah Butty , MD

Radiology - Vascular & Interventional Radiology

NPI 1770521445

Doctor of Medicine (M.D.)

Alyssa Dosmann , MNT

Dietitian, Registered - Nutrition, Renal

NPI 1841290632

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Business Mailing Address August 13, 2025

Registered at 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 193551407 (Tel: 6106448900)

📍

Updated Practice Location April 28, 2023

Registered at 250 E DAY RD STE 300, MISHAWAKA, IN 465453471 (Tel: 5749680283)

✅

NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2017

Registered at 1733 EASTCHESTER RD STE 2, BRONX, NY 104612315 (Tel: 7184092007)

📍

Updated Business Mailing Address May 23, 2017

Registered at 1733 EASTCHESTER ROAD, SUITE 2, BRONX, NY 10461 (Tel: 7184092007)

👤

Provider Name / Credentials Updated May 23, 2017

Recorded as BASHAR ERICSOOSSI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Internal Medicine (License #274622 in NY)

✅

NPI Profile Active November 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2015

Registered at 60 HOSPITAL RD, HOSPITAL MEDICINE, LEOMINSTER, MA 014532205 (Tel: 9784664169)

📍

Updated Business Mailing Address November 20, 2015

Registered at PO BOX 414723, BOSTON, MA 022414723 (Tel: 8776586800)

👤

Provider Name / Credentials Updated November 20, 2015

Recorded as BASHAR ERICSOOSSI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Internal Medicine (License #246009 in MA)

🟢

Initial NPI Registration & Enumeration July 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437312758

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2008

Last Update: August 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 Valley Stream Pkwy Ste 100

Malvern, PA 193551407

Phone: 6106448900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.