SUPARNA BASU MD PC
NPI 1215756705
Psychiatric Hospital in Madera, CA

Active since October 10, 2024
40886 GOODWIN WAY, MADERA, CA 93636(516) 232-5732 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suparna Basu Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPARNA BASU MD PC (NPI 1215756705) is a healthcare organization registered as a psychiatric hospital in Madera, California and active in the NPI registry since October 2024. The organization lists Suparna Basu, Md, as its authorized official.

NPPES Registry Identity

NPI1215756705
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSUPARNA BASU MD PC
Location Address40886 GOODWIN WAYMadera, CA 93636-9900
Mailing Address2609 Sunny MdwsMckinney, TX 75072-4054 · (516) 232-5732
Organization SubpartNo
Authorized OfficialSuparna BasuMd · (516) 232-5732
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1215756705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
40886 GOODWIN WAY, Madera, CA 93636

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suparna Basu Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suparna Basu MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1679719777
228 NE JEFFERSON AVE
Peoria, IL 61603
(309) 671-8005
✔ PECOS1,644 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suparna Basu MD PC's NPI number?

The NPI number for Suparna Basu MD PC is 1215756705. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Suparna Basu MD PC located?

Suparna Basu MD PC is located at 40886 Goodwin Way, Madera, CA 93636. The listed phone number is (516) 232-5732.

What is Suparna Basu MD PC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Suparna Basu MD PC enrolled in Medicare?

Yes. Suparna Basu MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suparna Basu MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Suparna Basu MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Suparna Basu MD PC accept?

Health plans from Blue Cross and Blue Shield of Texas list Suparna Basu MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suparna Basu MD PC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.