Suparna Basu, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.147481 Issued in IL

Practice address

228 NE Jefferson Ave
Peoria, IL 61603-3802

Phone

(309) 671-8005

NPI assigned

Dec 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TX, IL, CA4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suparna.basu.1@24284.direct.athenahealth.com

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.

• Suparna Basu MD PC

  • Psychiatric Hospital
  • Madera, CA
  • NPI 1215756705
  Medicare reassignment NPD Authorized official
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• St. Joseph'S Hospital Yonkers

  dba Saint Joseph's Hospital Medical Center Department of Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Yonkers, NY
  • NPI 1356316921
  Medicare reassignment NPD
• Human Service Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peoria, IL
  • NPI 1881630689
  Medicare reassignment
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  NPD
• St.Vincent' Hospital Westchester Psych

  • Counseling Psychologist
  • Harrison, NY
  • NPI 1932400140
  NPD
• Inpathy Behavioral Healthcare Group LLC

  • Psychiatry Physician
  • Marlton, NJ
  • NPI 1285099325
  NPD (past)
• Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC

  • Prescribing (Medical) Psychologist
  • Riverhead, NY
  • NPI 1578921623
  NPD (past)
• Mindstrong Health Services, PC

  • Psychiatry Physician
  • Mountain View, CA
  • NPI 1275018970
  NPD (past)

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1679719777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SUNNY MEADOWS",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750724054",
            "telephone_number": "516-232-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NE JEFFERSON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033802",
            "telephone_number": "309-671-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940411552",
            "country_code": "US",
            "telephone_number": "888-995-2230",
            "fax_number": "650-242-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASU",
        "first_name": "SUPARNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-21",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.147481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen E Bash, MD
• Andrew Lord Basnet
• Erin Amanda Bassett
• Evalynne D Basso
• Leonela C Bastidas, MD
• Linda Spangler Batek, M.D.
• Madeline Batek
• Bindu Bathina, MD
• Krishna Sasanka Bathina, MD
• Dennis M Bathke, MD

• Psychiatry Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.