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

Individual provider Internal Medicine Physician · NPI 1770967036

Subash Bastakoti, MD is a Critical Care (Intensivists) in Green Bay, Wisconsin. Qualified in 2013, 13 years ago. Practices with Incare LLC, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
13
Licensed in
MI, WI
In the registry since
2015
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

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 804 Service Rd, East Lansing, MI 48824-7015 — (517) 353-4941

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 72088 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301108025 (MI)

Record details

NPI number1770967036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Incare Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay