Samir Basata MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SAMIR BASATA MD PC

Practice address

1501 S Center Rd
Burton, MI 48509-1731

Phone

(810) 742-3400

Fax

(810) 742-2534

NPI assigned

Jul 9, 2019

Last updated

Dec 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samir Basata, MDNPI 1417069279

Title

Owner

Phone

(810) 742-3400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir Basata, MD

  • Urology Physician
  • Burton, MI
  • NPI 1417069279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1972155133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-742-3400",
            "fax_number": "810-742-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-742-3400",
            "fax_number": "810-742-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR BASATA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "BASATA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-742-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Nicole Rudy
• Lilyanna Kathryn Rupright
• Brenda Fay Rushin
• Sacred Heart Rehabilitation Center, Inc
• Samir Basata MD
• Miangel Sanders-White
• Scott Gregory Sanders, LLMSW
• Joy Sandy
• Sarah a. Lee P.C.
• Haley Marie Saylor

• Urology Physician in Burton, MI
• Providers in Burton, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.