EDUARDO LAMAS BASULTO (MD) – Physical Medicine & Rehabilitation Physician, NPI 1992364806

EDUARDO LAMAS BASULTO (MD) is a healthcare provider. based in Pontiac, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 100573 (GA). The NPI Number for EDUARDO LAMAS BASULTO (MD) is 1992364806

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
EDUARDO LAMAS BASULTO (MD)
NPI
1992364806
Phone
Not provided
Address
44405 WOODWARD AVE # H23
Enumeration Date
13 June 2019
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2019 (7 years ago)
PAC ID
8022431782
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20240808003102
Address ID
GA303221013AT1365XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for EDUARDO LAMAS BASULTO (MD)

  • Woodward Avenue, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483415023

    Phone:

    Type: Mailing

  • 21 Ortho Ln

    Atlanta, GA 303292315

    Phone: (404) 778-3350

    Type: Location

  • 3137 BUFORD HWY NE APT 7

    BROOKHAVEN, GA 303291756

    Phone: (786) 274-9963

    Type: Mailing

  • 8225 MALL PKWY

    STONECREST, GA 300386994

    Phone: (770) 482-3241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,312.

Total Amount is formed as General ($2,312) + Research ($0) + Ownership ($0) = $2,312.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Nevro Corp. ($1,448).

Total Amount

$2,312

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2024-08-08

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
I20240808003102IPhysical Medicine And RehabilitationGATBD

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 48341)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What is the registry number for EDUARDO LAMAS BASULTO (MD)?
The registry entry for EDUARDO LAMAS BASULTO (MD) shows NPI 1992364806.
Should I treat EDUARDO LAMAS BASULTO (MD) as an active provider?
Patients and plans typically see EDUARDO LAMAS BASULTO (MD) as active in the national extract.
What does the directory say EDUARDO LAMAS BASULTO (MD) does?
Insurance directories may phrase it differently, but here EDUARDO LAMAS BASULTO (MD) maps to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Can patients visit EDUARDO LAMAS BASULTO (MD) in Pontiac, Michigan?
For routing, start with Pontiac, Michigan for EDUARDO LAMAS BASULTO (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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