ELMIRA SADEGHI RAZLIGHI BASALY (MD) – Internal Medicine Physician, NPI 1841511441

ELMIRA SADEGHI RAZLIGHI BASALY (MD) is a healthcare provider. based in Baldwin, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME125020 (FL). The NPI Number for ELMIRA SADEGHI RAZLIGHI BASALY (MD) is 1841511441

Main info

Female
13 Years Of Experience
Name
ELMIRA SADEGHI RAZLIGHI BASALY (MD)
NPI
1841511441
Phone
(715) 684-1111
Address
1100 Bergslien St
Enumeration Date
17 June 2010
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
2079422333
Graduation Year
2013 (13 years ago)
PAC ID
3870734320
Group Practice PAC ID
1951676568
Professional Enrollment ID
I20180402001546
Address ID
ME044015602BA44XXXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
ebasaly581447@soc.inova.org
Secure Messaging
ebasaly104363@nghs.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness95
Years active:15State licenses:4Other names

2,941 INTERNAL MEDICINE in WI

Provider Addresses for ELMIRA SADEGHI RAZLIGHI BASALY (MD)

  • 1100 Bergslien St

    Baldwin, WI 540022600

    Phone: (715) 684-1111

    Fax: (715) 684-1119

    Type: Location

  • 1629 E Division St

    River Falls, WI 45022

    Phone: (713) 307-6000

    Type: Location

  • 805 CENTURY MEDICAL DR OFC

    TITUSVILLE, FL 327962100

    Phone: (321) 268-6111

    Fax: (321) 268-6360

    Type: Mailing

  • 805 CENTURY MEDICAL DR

    CREDENTIALING OFFICE

    TITUSVILLE, FL 327962100

    Phone: (321) 268-6111

    Fax: (321) 268-6360

    Type: Mailing

  • 100 Crossing Blvd Ste 300

    Framingham, MA 017025555

    Phone: (617) 964-8847

    Type: Location

  • 951 N WASHINGTON AVE

    HOSPITALIST DEPT.

    TITUSVILLE, FL 32796

    Phone: (321) 268-6111

    Fax: (321) 268-6360

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1047 days ago).

Enrollment records

20

Earliest due date

2023-07-31

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
I20130725000143IInternal MedicineSC2023-07-31
I20160108001482IInternal MedicineFLTBD
I20171003006389IInternal MedicineNCTBD
I20180112001814IInternal MedicineWITBD
I20180402001546IInternal MedicineMETBD
I20180919002878IInternal MedicineWVTBD
I20190214001887IHospitalistVATBD
I20201105002673IInternal MedicineCTTBD
I20201105002719IInternal MedicineRITBD
I20201105002757IInternal MedicineNHTBD
I20201110000373IInternal MedicineMDTBD
I20201120001213IInternal MedicineDCTBD
I20201204002334IInternal MedicineMATBD
I20210726002682IInternal MedicineOHTBD
I20220120000010IInternal MedicineOKTBD
I20220121000887IInternal MedicineILTBD
I20220121002441IInternal MedicineKYTBD
I20220517002638IInternal MedicineMITBD
I20220523001066IInternal MedicineVTTBD
I20220603002387IInternal MedicineTNTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes354348$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes216212$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes118118$0
G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic2424$0
View full utilization report →

Insurance plans in this area (ZIP 54002)

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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: 1951676568View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerMD
Emergency MedicineTX
Emergency MedicinePA
-WV
Nurse PractitionerCA
-OR
-MD
Nurse PractitionerRI
Internal Medicine, Infectious DiseaseNY

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Frequently asked questions

What is the registry number for ELMIRA SADEGHI RAZLIGHI BASALY (MD)?
The registry entry for ELMIRA SADEGHI RAZLIGHI BASALY (MD) shows NPI 1841511441.
Is ELMIRA SADEGHI RAZLIGHI BASALY (MD) currently accepting referrals based on NPI status?
Registry metadata lists ELMIRA SADEGHI RAZLIGHI BASALY (MD) as active.
What services align with ELMIRA SADEGHI RAZLIGHI BASALY (MD)'s listing?
ELMIRA SADEGHI RAZLIGHI BASALY (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ELMIRA SADEGHI RAZLIGHI BASALY (MD)?
ELMIRA SADEGHI RAZLIGHI BASALY (MD) shows a connection to Baldwin, Wisconsin in registry-derived data.
Why is information missing for ELMIRA SADEGHI RAZLIGHI BASALY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.