DR. LEEDA BASHARDOST (MD, MHSS, FRCPC) – Vascular Neurology Physician, NPI 1164142253
Vascular Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 NEUROLOGY in MI
Provider Addresses for DR. LEEDA BASHARDOST (MD, MHSS, FRCPC)
3922 Cedar Run Rd
Traverse City, MI 49684
Phone: (231) 392-0430
Type: Location
Department of Neurology
660 South Euclid Avenue
St. Louis, MO 631081093
Phone: (314) 861-0911
Type: Location
4100 Park Forest Dr
Traverse City, MI 496847331
Phone: (231) 392-0640
Fax: (231) 392-0643
Type: Location
4545 LACLEDE AVE
SAINT LOUIS, MO 631082061
Phone: (314) 861-0911
Type: Mailing
DEPARTMENT OF NEUROLOGY
660 SOUTH EUCLID AVENUE
ST. LOUIS, MO 631081093
Phone: (314) 861-0911
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone: (231) 935-5000
Type: Mailing
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 496842360
Phone: (231) 932-0640
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 $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cumberland Pharmaceuticals, Inc. | $101 |
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: 2025-02-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250222000228 | I | Neurology | MI | TBD |
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.
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 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
Reviews
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