DR. ARPITA BASU MD, MPH
NPI 1295984482
Internal Medicine - Nephrology in Atlanta, GA

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-2107 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2018, May 21, 2018, Oct 16, 2017 (3 updates tracked since 2017).

About Dr. Arpita Basu Md, Mph NPPES

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

DR. ARPITA BASU MD, MPH (NPI 1295984482) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (80964) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1295984482
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ARPITA BASUCredential: MD, MPH
Location Address1364 CLIFTON RD NEAtlanta, GA 30322
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-0001 · (404) 778-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 12, 2008
Last NPPES UpdateAugust 3, 20183 updates tracked since enumeration
NPI 1295984482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in GA · 80964 Licensed in MN · 62041 Licensed in AZ · R76569
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 62041 (MN)
1364 CLIFTON RD NE, Atlanta, GA 30322

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-4083

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Arpita Basu Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153592373
PECOS Enrollment IDI20181010003292
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
170 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers48 claims2,925 services$3.33 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers11 claims4,800 services$1.01 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
13 suppliers327 claims44,200 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers539 claims82,860 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,770 services$0.53 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
20 suppliers647 claims109,008 services$0.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Arpita Basu's NPI number?

The NPI number for Arpita Basu is 1295984482. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Arpita Basu located?

Arpita Basu practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-2107.

What is Arpita Basu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Arpita Basu enrolled in Medicare?

Yes. Arpita Basu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Arpita Basu accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Arpita Basu 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.

Is Arpita Basu affiliated with any hospitals?

According to CMS data, Arpita Basu is affiliated with St Mary's Hospital, Emory University Hospital, Piedmont Columbus Regional Midtown, Emory University Hospital Midtown and Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Arpita Basu was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.