DR. MUSTAFA M BASREE (DO, MS) – Radiation Oncology Physician, NPI 1710563689

DR. MUSTAFA M BASREE (DO, MS) is a healthcare provider. based in Rockford, Illinois. specializing in RADIATION ONCOLOGY. They hold the professional credentials DO, MS. They hold a License No. 81340-21 (WI). The NPI Number for DR. MUSTAFA M BASREE (DO, MS) is 1710563689

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUSTAFA M BASREE (DO, MS)
NPI
1710563689
Phone
(815) 971-7000
Address
8201 E Riverside Blvd
Enumeration Date
22 March 2021
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087566000
Graduation Year
2022 (4 years ago)
PAC ID
9638558950
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20240703000786
Address ID
WI535482940JA1000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

Provider Addresses for DR. MUSTAFA M BASREE (DO, MS)

  • 8201 E Riverside Blvd

    Rockford, IL 611142300

    Phone: (815) 971-7000

    Type: Location

  • 1000 Mineral Point Ave

    Janesville, WI 535482940

    Phone: (608) 756-6500

    Type: Location

  • 3595 Olentangy River Rd

    Columbus, OH 432143440

    Phone: (614) 566-5456

    Fax: (614) 566-6902

    Type: Location

  • 9500 Euclid Ave

    Cleveland, OH 441950001

    Phone: (216) 444-2200

    Type: Location

  • 749 UNIVERSITY ROW STE 200

    MADISON, WI 537051465

    Phone: (608) 890-8836

    Fax: (608) 262-0307

    Type: Mailing

  • 600 HIGHLAND AVE

    MADISON, WI 537921465

    Phone: (608) 890-8836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2023-06-23 • Largest payer in this snapshot: Boston Scientific Corporation ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240703000786IRadiation OncologyWITBD
I20240727000564IRadiation OncologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61114)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

Does DR. MUSTAFA M BASREE (DO, MS) have a public NPI I can cite?
Public records show DR. MUSTAFA M BASREE (DO, MS) under NPI 1710563689.
Should I treat DR. MUSTAFA M BASREE (DO, MS) as an active provider?
Patients and plans typically see DR. MUSTAFA M BASREE (DO, MS) as active in the national extract.
Which specialty label fits DR. MUSTAFA M BASREE (DO, MS)?
NPPES ties DR. MUSTAFA M BASREE (DO, MS) to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. MUSTAFA M BASREE (DO, MS) tied to Rockford, Illinois?
If you are local to Rockford, Illinois, DR. MUSTAFA M BASREE (DO, MS) may be relevant to your search.
Who maintains DR. MUSTAFA M BASREE (DO, MS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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