Active NPI
Reneeta Basu, D.O.
- Family Medicine Physician
- Lilburn, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 85232
- Practice address
- 615 Beaver Ruin Rd NW
Lilburn, GA 30047-3401 - Phone
- (770) 935-8616
- NPI assigned
- Apr 14, 2014
- Last updated
- Dec 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT015694 | PA | |
| Family Medicine Physician | 207Q00000X | OS16141 | FL | |
| Family Medicine Physician | 207Q00000X | 85232 | GA | Primary |
Addresses
Primary practice location
615 Beaver Ruin Rd NW
Lilburn, GA 30047-3401
Mailing address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Other practice location 1
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 420-8555
Other practice location 2
1500 Fifth Ave
McKeesport, PA 15132-2422
Phone (412) 664-2167
Other practice location 3
1500 Fifth Ave
McKeesport, PA 15132-2422
Phone (412) 664-2167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Esop Rehabilitation LLC
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
875 Flat Shoals Rd SE
Conyers, GA 30094-6640
Phone (770) 785-7669
Hospital & facility affiliations
- Emory Decatur Hospital
- Piedmont Eastside Medical Center
- Emory University Hospital
- Saint Joseph's Hospital of Atlanta, Inc
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16141 | FL | MD | Family Medicine Physician |
| 85232 | GA | MD | Family Medicine Physician |
| OT015694 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Single Specialty | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Single Specialty | Current | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACIFBA
- rbasu20127@direct.emory.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Single Specialty
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Piedmont Eastside Medical Center
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1003235417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 BEAVER RUIN RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473401",
"telephone_number": "770-935-8616"
}
],
"practiceLocations": [
{
"address_1": "2007 Palm Beach Lakes Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "33409",
"country_code": "US",
"telephone_number": "561-420-8555",
"fax_number": "561-420-8550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Fifth Ave",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151322422",
"country_code": "US",
"telephone_number": "412-664-2167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Fifth Ave",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151322422",
"country_code": "US",
"telephone_number": "412-664-2167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASU",
"first_name": "RENEETA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT015694",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16141",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "85232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.