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SANGITA BASNET MD
NPI 1508854597
Pediatrics in Springfield, IL

Active since October 12, 2005PECOS Enrolled
415 N 9TH ST STE 4W16, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Sangita Basnet Md NPPES

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

SANGITA BASNET MD (NPI 1508854597) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036098984) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1508854597
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANGITA BASNETCredential: MD
Location Address415 N 9TH ST STE 4W16Springfield, IL 62702-5303
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131
Phone(217) 545-8000
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1508854597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036098984
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 036098984 (IL)
415 N 9TH ST STE 4W16, Springfield, IL 62702
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Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2529 · Phone (217) 383-3088 · Fax (217) 383-4565

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sangita Basnet Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sangita Basnet reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc
0.5 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Carle Health Medical Group
79 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Richland Memorial Hospital, Inc
111 mi
Rural Health
605 E MAIN ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1326566290 (618) 392-1140

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 6

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

MRS. GERALYN SUE PRULLAGE APN
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
LEAH R BOON NNP-BC
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANDREA J GREENWOOD APRN
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SHELBY LYNN DOYLE MD
Pediatrics (Pediatric Critical Care Medicine)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
KELSIE M ADAMS
Registered Nurse
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MR. BRUCE DANIEL HASTINGS NNP-BC
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Sangita Basnet's NPI number?

The NPI number for Sangita Basnet is 1508854597. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Sangita Basnet located?

Sangita Basnet practices at 415 N 9th St Ste 4w16, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Sangita Basnet's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sangita Basnet enrolled in Medicare?

Yes. Sangita Basnet is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sangita Basnet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sangita Basnet reassigns Medicare benefits to 3 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL), Carle Health Medical Group (Urbana, IL) and Richland Memorial Hospital, Inc (Olney, IL). Each 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 Sangita Basnet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sangita Basnet was last updated on December 18, 2023. 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.