Individual provider Active NPI

Eric Nile Basmaji, M.D.

  • Hospitalist Physician
  • Petoskey, MI
National Provider Identifier
1497745061
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
4301072525 Issued in MI
Practice address
416 Connable Avenue
Northern Michigan Regional Hospital
Petoskey, MI 49770
Phone
(231) 487-4000
Fax
(248) 476-1780
NPI assigned
Oct 25, 2005
Last updated
Jun 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X EB072525 MI
Hospitalist Physician 208M00000X 4301072525 MI Primary

Addresses

Primary practice location

416 Connable Avenue
Northern Michigan Regional Hospital
Petoskey, MI 49770

Mailing address

416 Connable Avenue
Northern Michigan Regional Hospital
Petoskey, MI 49770
Phone (231) 487-4000

Other identifiers 1

IdentifierTypeStateIssuer
4310128MedicaidMI

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
I20041216000399 MI Practitioner - Internal MedicinePractitioner - Hospitalist 1153388657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EB072525MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
McLaren Northern Michigan CurrentSince May 30, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince May 30, 2023 Accepting new patients
McLaren Hospital Group Hospitalist CurrentSince Nov 11, 2025 Accepting new patients
Neil Basmaji and Eric Basmaji MD PC Internal Medicine Past Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1497745061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVENUE",
            "address_2": "NORTHERN MICHIGAN REGIONAL HOSPITAL",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-4000",
            "fax_number": "248-476-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVENUE",
            "address_2": "NORTHERN MICHIGAN REGIONAL HOSPITAL",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-4000",
            "fax_number": "248-476-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASMAJI",
        "first_name": "ERIC",
        "middle_name": "NILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "EB072525",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301072525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.