Bashar Ericsoossi, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01089928A Issued in IN

Practice address

250 E Day Rd Ste 300
Mishawaka, IN 46545-3471

Phone

(574) 968-0283

Fax

(574) 968-0882

NPI assigned

Jul 7, 2008

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, IN2 enrollments

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 2

Specialty

Nephrology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Physicians, LLCGroup PAC ID 1850289273, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.25 of 100Reported as group

Quality

72.63

Promoting interoperability

0

Improvement activities

40

Cost

75.58

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bashar.ericsoossi.p97@direct.lifelinevascular.nextgenshare.com
• Direct secure messaging: bashar.ericsoossi.p99@direct.aac.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Nephrology Physicians LLC

  • Nephrology Physician
  • Mishawaka, IN
  • NPI 1518996719
  Medicare reassignment Care Compare group NPD
• Kidney Medical Associates PLLC

  • Specialist
  • Bronx, NY
  • NPI 1578933461
  Medicare reassignment NPD
• Nephrology Physicians LLC

  dba Azura Surgery Center Michiana Vascular

  • Ambulatory Surgical Clinic/Center
  • Mishawaka, IN
  • NPI 1003357377
  NPD
• Azura Anesthesia Partners LLC

  • Anesthesiology Physician
  • Nottingham, MD
  • NPI 1528669728
  NPD (past)
• Bronx Nephrology Hypertension PC

  • Nephrology Physician
  • Bronx, NY
  • NPI 1912187956
  NPD (past)

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1437312758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY STE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E DAY RD STE 300",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453471",
            "telephone_number": "574-968-0283",
            "fax_number": "574-968-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSOOSSI",
        "first_name": "BASHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "274622",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01089928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Englert, M.D.
• Epic Home Care, Inc (Home Instead Senior Care)
• Epic Home Care, Inc. (Home Instead)
• Ergonomic Health Solutions
• Kevin R Ericson, MD
• Brian K Esch, MD
• Esi Consulting LLC
• Swarupa Rani Eskapalli, M.D
• Espoir Home Care LLC
• Makhaila Esquibel, PHARMD

• Nephrology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.