Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bashar Ericsoossi, MD

Individual provider Nephrology Physician · NPI 1437312758

Dr. Bashar Ericsoossi, MD is a Nephrology in Mishawaka, Indiana. Qualified in 2007, 19 years ago. Practices with Nephrology Physicians, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
19
Licensed in
IN, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 E Day Rd Ste 300
Mishawaka, IN 46545-3471
Phone: (574) 968-0283
Fax: (574) 968-0882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01089928A (IN)
Nephrology Physician Taxonomy 207RN0300X · Licence 274622 (NY)

Record details

NPI number1437312758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address40 Valley Stream Pkwy Ste 100, Malvern, PA 19355-1407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nephrology Physicians, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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