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

Samir Basata, MD

Individual provider Urology Physician · NPI 1417069279

Samir Basata, MD is an Urology in Burton, Michigan. Qualified in 1973, 53 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
53
Licensed in
MI
In the registry since
2006
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

1501 S Center Rd Bldg A
Burton, MI 48509
Phone: (810) 742-3400
Fax: (810) 742-2534
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence SB057189 (MI)

Record details

NPI number1417069279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1501 S Center Road, Bldg A, Burton, MI 48509

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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