DR. BASHAR ERICSOOSSI (M.D.) – Nephrology Physician, NPI 1437312758

DR. BASHAR ERICSOOSSI (M.D.) is a healthcare provider. based in Malvern, Pennsylvania. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 274622 (NY). The NPI Number for DR. BASHAR ERICSOOSSI (M.D.) is 1437312758

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. BASHAR ERICSOOSSI (M.D.)
NPI
1437312758
Phone
(610) 644-8900
Address
40 VALLEY STREAM PKWY STE 100
Enumeration Date
7 July 2008
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5749680283
Graduation Year
2007 (19 years ago)
PAC ID
1355569609
Group Practice PAC ID
1850289273
Professional Enrollment ID
I20230504002739
Address ID
IN465453471MI250XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

1,243 NEPHROLOGY in NY

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Provider Addresses for DR. BASHAR ERICSOOSSI (M.D.)

  • 40 VALLEY STREAM PKWY STE 100

    MALVERN, PA 193551407

    Phone: (610) 644-8900

    Fax: (484) 924-0053

    Type: Mailing

  • 1733, Eastchester Road, The Bronx, Bronx County, New York, 10461, United States

    SUITE 2

    BRONX, NY 10461

    Phone: (718) 409-2007

    Fax: (718) 409-3374

    Type: Mailing

  • Eastchester Road, The Bronx, Bronx County, New York, 10469, United States

    BRONX, NY 104612315

    Phone: (718) 409-2007

    Fax: (718) 409-3374

    Type: Location

  • 250 E DAY RD STE 300

    MISHAWAKA, IN 465453471

    Phone: (574) 968-0283

    Fax: (574) 968-0882

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Medtronic, Inc. ($114).

Total Amount

$235

General + Research + Ownership

Payments

11

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

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: 2023-05-04

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
I20160120001834INephrologyNYTBD
I20230504002739INephrologyINTBD

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
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist361268$0
36215Insertion of tube into chest or arm artery, each first order branch228158$0
75710Review by radiologist of arm or leg artery image221156$0
36907Balloon dilation of dialysis segment with review by radiologist128106$0
36901Insertion of needle and/or tube into hemodialysis circuit with review by radiologist9882$0
View full utilization report →

Insurance plans in this area (ZIP 19355)

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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: 1850289273View full group profile
NameSpecialtyState
Nurse PractitionerIN
Interventional RadiologyFL
Internal Medicine, NephrologyOR
-IN
Nephrology, Internal MedicineIN
Nurse PractitionerIN
Internal Medicine, NephrologyOR
-NV
Internal Medicine, NephrologyOR
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is DR. BASHAR ERICSOOSSI (M.D.)'s NPI number?
DR. BASHAR ERICSOOSSI (M.D.)'s NPI is 1437312758 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. BASHAR ERICSOOSSI (M.D.)?
For scheduling context, DR. BASHAR ERICSOOSSI (M.D.) is shown as active in the registry.
What area of care is associated with DR. BASHAR ERICSOOSSI (M.D.)?
DR. BASHAR ERICSOOSSI (M.D.)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. BASHAR ERICSOOSSI (M.D.) registered?
Use Malvern, Pennsylvania as the headline location for DR. BASHAR ERICSOOSSI (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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