Samir Basata MD

Samir Basata MD is a healthcare organization registered as Urology Physician in Burton, MI, holding Type 2 (organization) NPI 1093171191 since 2016. The authorized official on file is Samir Basata, Owner.

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NPI	1093171191
Entity type	Organization (Type 2)
Legal business name	Samir Basata MD
Practice address	1501 S CENTER RD, BUILDING B, Burton, MI, 48509
Phone	8107423400
Fax	8107422534
Enumeration date	2016-01-06
Last updated in NPPES	2016-01-06

Authorized official

Name	Samir Basata
Title	Owner
Phone	8107423400

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208800000X	Urology Physician	Primary	4301057189	MI

Copy-ready billing details

Provider: Samir Basata MD
NPI: 1093171191
Taxonomy: 208800000X (Urology Physician)
Address: 1501 S CENTER RD, BUILDING B, Burton, MI, 48509

Providers at this address

NPI	Name	Type	Specialty	Location
1518961879	Khaled Shukairy	Individual	Otolaryngology/Facial Plastic Surgery Physician	Burton, MI
1093824351	Khaled El-Ganainy	Individual	Chiropractor	Burton, MI
1104938604	Tabitha Bucknam	Individual	Audiologist	Burton, MI
1306938105	Renaissance Chiropractic PC	Organization	Chiropractor	Burton, MI
1346332046	Renaissance Chiropractic and Associates, Inc	Organization	Chiropractor	Burton, MI
1871703389	Mazin Abdelmalek	Individual	Chiropractor	Burton, MI
1386830651	Khaled M Shukairy MD PC	Organization	Otolaryngology/Facial Plastic Surgery Physician	Burton, MI
1932387669	Synergy Wellness Center, PC	Organization	Physical Therapist	Burton, MI

Verify this record

Cross-check NPI 1093171191 against the authoritative CMS record: view Samir Basata MD on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-01-06. Verify at npiregistry.cms.hhs.gov.

Where is Samir Basata MD located?

The practice location on file with NPPES is in Burton, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-06.