Pushparanee Babusukumar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33930020 Issued in WI

Practice address

3535 30TH Ave
Suite 201
Kenosha, WI 53144-1632

Phone

(262) 652-7813

Fax

(262) 652-4450

NPI assigned

Sep 7, 2006

Last updated

Sep 3, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric and Psychotherapy Clinic L I Newman MD SC Gen PTRGroup PAC ID 0547200198, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen PTR

  • Addiction (Substance Use Disorder) Counselor
  • Kenosha, WI
  • NPI 1932312212
  Medicare reassignment Care Compare group NPD
• Pushparanee Babusukumar M.D.S.C.

  • Psychiatry Physician
  • Kenosha, WI
  • NPI 1528254042
  Authorized official Same address or phone
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1790732410
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Froedtert South, Inc.

  • General Acute Care Hospital
  • Pleasant Prairie, WI
  • NPI 1003831132
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1003919697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 201",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-652-7813",
            "fax_number": "262-652-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 201",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-652-7813",
            "fax_number": "262-652-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABUSUKUMAR",
        "first_name": "PUSHPARANEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "33930020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31964500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B7 Pharmacy Inc (Good Value Pharmacy Medcare West)
• B7 Pharmacy Inc (Good Value Pharmacy Larsen-Mayer)
• B7 Pharmacy, Inc. (Good Value Pharmacy)
• B7 Pharmacy, Inc. (Good Value Pharmacy LTC)
• Shellie K Babcock, LCSW
• Back-in-Action Physical Therapy Center of Kenosha, LTD.
• Alyssa Backhaus
• Rachel K Backhaut, PT
• Marissa Bacon, PT, DPT
• Mustafa Syed Badrudduja, MD

• Psychiatry Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.

Verify at the official NPI Registry.