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DR. BRAD L SUPRENANT DO
NPI 1760467377
Internal Medicine - Clinical Cardiac Electrophysiology in Kankakee, IL

Active since December 07, 2005PECOS Enrolled
500 N WALL ST, KANKAKEE, IL 60901(844) 404-4787(815) 936-3243 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2021, Jul 8, 2020, Jul 25, 2019 (3 updates tracked since 2019).

About Dr. Brad L Suprenant Do NPPES

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

DR. BRAD L SUPRENANT DO (NPI 1760467377) is an individual clinical cardiac electrophysiology provider in Kankakee, Illinois, licensed in Illinois (036071427) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760467377
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. BRAD L SUPRENANTCredential: DO
Location Address500 N WALL STKankakee, IL 60901-2942
Mailing Address500 N Wall StKankakee, IL 60901-2942 · (844) 404-4787 · Fax (815) 936-3243
Phone(844) 404-4787
Fax(815) 936-3243
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1760467377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses✔ Licensed in IL · 036071427✔ Licensed in IN · 02001098A
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

500 N WALL ST, Kankakee, IL 60901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1375 N Wall St Ste P420Kankakee, IL 60901 · Phone (815) 939-9400 · Fax (815) 939-9494
Location 21490 E Walnut St Ste AWatseka, IL 60970-1806 · Phone (815) 432-7693 · Fax (815) 936-7228

Other Identifiers 3

Medicaid036071247IL
Other060030169Rr Medicare
Other000000095316IN · Anthem Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brad L Suprenant Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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 17

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

ANUJA GUPTA MD
Pediatrics (Pediatric Cardiology)
500 N WALL ST, SUITE 100
KANKAKEE, IL 60901
Kankakee County (815) 933-2557
DR. LYNN G BROWN MD
Internal Medicine (Cardiovascular Disease)
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
MR. ANDREW J DONOFRIO PA-C
Physician Assistant
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
KENDRA G HANSEN ANP-BC
Nurse Practitioner (Adult Health)
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
SEBAN LIU D.O.
Internal Medicine (Cardiovascular Disease)
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
LYNN GAYE BROWN, M.D., S.C.
Specialist
500 N WALL ST, SUITE 201
KANKAKEE, IL 60901
Kankakee County (815) 932-2000
DR. SYED M HUSSAIN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
ANDREW TARIAO MARIANO DO
Internal Medicine (Cardiovascular Disease)
500 N WALL ST
KANKAKEE, IL 60901
Kankakee County (844) 404-4787

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 Brad Suprenant's NPI number?

The NPI number for Brad Suprenant is 1760467377. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Brad Suprenant located?

Brad Suprenant practices at 500 N Wall St, Kankakee, IL 60901. The listed phone number is (844) 404-4787.

What is Brad Suprenant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Brad Suprenant enrolled in Medicare?

Yes. Brad Suprenant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brad Suprenant was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.