Individual provider Active NPI

Peter Henry Bast, M.D.

  • Ophthalmology Physician
  • Holland, MI
National Provider Identifier
1295937332
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301088667 Issued in MI
Practice address
111 W 24TH St
Holland, MI 49423-4791
Phone
(616) 396-0006
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301088667 MI Primary

Addresses

Primary practice location

111 W 24TH St
Holland, MI 49423-4791

Mailing address

111 W 24TH St
Holland, MI 49423-4791
Phone (616) 396-0006

Other identifiers 2

IdentifierTypeStateIssuer
1295937332OtherBLUE CROSS / BLUE SHIELD
12094092OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714001037 MI Practitioner - Ophthalmology 1850423609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Eye Clinic, PCGroup PAC ID 7618919994, 4 clinicians

Practice addresses (Care Compare)

2025 Van Hill Dr
Zeeland, MI 49464-6904
Phone (616) 396-5235

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
99.03
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088667MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Eye Clinic, PC Ophthalmology CurrentSince Mar 13, 2010 Accepting new patients
Retina Specialists of Michigan PC Ophthalmology Past Accepting new patients

Locations

2025 Van Hill Dr
Zeeland, MI 49464
Phone (616) 396-5235

Interoperability endpoints

  • Direct secure messaging: peter.bast.p1@direct.sighteyeclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1295937332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 24TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234791",
            "telephone_number": "616-396-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 24TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234791",
            "telephone_number": "616-396-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAST",
        "first_name": "PETER",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301088667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "1295937332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12094092",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.