SURENDRA BASTI (MD) – Ophthalmology Physician, NPI 1619963873

SURENDRA BASTI (MD) is a healthcare provider. based in Westmont, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036-112224 (IL). The NPI Number for SURENDRA BASTI (MD) is 1619963873

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SURENDRA BASTI (MD)
NPI
1619963873
Phone
(630) 288-6215
Address
777 OAKMONT LN
Enumeration Date
23 September 2005
Last Update Date
6 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125031944
Graduation Year
1987 (39 years ago)
PAC ID
5890757678
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20041103000582
Address ID
IL606112930CH259XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for SURENDRA BASTI (MD)

  • 777, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    SUITE 1600

    WESTMONT, IL 605595511

    Phone: (630) 288-6215

    Fax: (630) 214-9344

    Type: Mailing

  • 2300 N CHILDRENS PLZ

    CHICAGO, IL 606143363

    Phone: (630) 789-2550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $38,477.

Total Amount is formed as General ($38,477) + Research ($0) + Ownership ($0) = $38,477.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($18,569).

Total Amount

$38,477

General + Research + Ownership

Payments

42

Total payment records

General Amount

$38,477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103000582IOphthalmologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes304285$0
99213Established patient office or other outpatient visit, 20-29 minutes297254$0
66984Removal of cataract with insertion of prosthetic lens197156$0
99204New patient office or other outpatient visit, 45-59 minutes122122$0
92025Ct scan of cornea6261$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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Provider's Procedures

SURENDRA BASTI (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92134Diagnostic imaging of retina3936

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for SURENDRA BASTI (MD)?
SURENDRA BASTI (MD) — NPI 1619963873 — is the standard way to identify this listing.
Can I rely on SURENDRA BASTI (MD) being an active provider?
As of the registry snapshot, SURENDRA BASTI (MD) is marked active.
What taxonomy line describes SURENDRA BASTI (MD)?
For research purposes, treat SURENDRA BASTI (MD) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SURENDRA BASTI (MD)?
SURENDRA BASTI (MD)'s geographic hint is Westmont, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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