Active NPI
Riya Basu, M.D.
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1619327392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125.069230
- Practice address
- 1645 W Jackson Blvd
Chicago, IL 60612-3276 - Phone
- (312) 942-2200
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.069230 | IL | Primary |
Addresses
Primary practice location
1645 W Jackson Blvd
Chicago, IL 60612-3276
Mailing address
700 W Van Buren St Apt 1406
Chicago, IL 60607-3619
Phone (404) 631-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069230 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottish Rite Childrens Medical Ctr | Past | Accepting new patients | |
| Scottish Rite Children's Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Children's Healthcare of Atlanta at Scottish Rite
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
-
dba Children's Healthcare of Atlanta at Scottish Rite
- Children's Hospital
- Atlanta, GA
- NPI 1922178789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1619327392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W VAN BUREN ST APT 1406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073619",
"telephone_number": "404-631-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123276",
"telephone_number": "312-942-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASU",
"first_name": "RIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.069230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.