EDIN BASIC (D.O) – Internal Medicine Physician, NPI 1124206685

EDIN BASIC (D.O) is a healthcare provider. based in Macomb, Michigan. specializing in NEPHROLOGY, EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. 5101017539 (MI). The NPI Number for EDIN BASIC (D.O) is 1124206685

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
EDIN BASIC (D.O)
NPI
1124206685
Phone
Not provided
Address
45307 NORTHPORT DR
Enumeration Date
7 February 2008
Last Update Date
7 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174858217430
Graduation Year
2007 (19 years ago)
PAC ID
2668633678
Group Practice PAC ID
6800119637
Professional Enrollment ID
I20120419000225
Address ID
MI489114276LA3960XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

434 NEPHROLOGY in MI

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Provider Addresses for EDIN BASIC (D.O)

  • 45307, Northport Drive, Macomb Township, Macomb County, Michigan, 48044, United States

    #3301

    MACOMB, MI 480445326

    Phone:

    Type: Mailing

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 175 Open Payments records for all available years, with a total value of $4,628.

Total Amount is formed as General ($4,628) + Research ($0) + Ownership ($0) = $4,628.

Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Amgen Inc. ($601).

Total Amount

$4,628

General + Research + Ownership

Payments

175

Total payment records

General Amount

$4,628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-25

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: 2012-04-19

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
I20120419000225INephrologyMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19972$0
99214Established patient office or other outpatient visit, 30-39 minutes14791$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7745$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5251$0
99213Established patient office or other outpatient visit, 20-29 minutes4035$0
View full utilization report →

Insurance plans in this area (ZIP 48044)

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Provider's Procedures

EDIN BASIC (D.O) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMI90935Hemodialysis procedure with one physician evaluation1615

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: 6800119637View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Nephrology, Internal MedicineMI
-OR
Nephrology, Internal MedicineMI

Reviews

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Frequently asked questions

What identifier follows EDIN BASIC (D.O) across health systems?
The NPI 1124206685 uniquely identifies EDIN BASIC (D.O) in U.S. healthcare data.
Does the public listing show EDIN BASIC (D.O) as active?
EDIN BASIC (D.O)'s NPI record reflects an active status in NPPES.
What does the directory say EDIN BASIC (D.O) does?
Insurance directories may phrase it differently, but here EDIN BASIC (D.O) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to EDIN BASIC (D.O)?
EDIN BASIC (D.O) shows a connection to Macomb, Michigan in registry-derived data.
Can I export EDIN BASIC (D.O)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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