Individual provider Active NPI

Reshmi Basu, MD

  • Pediatrics Physician
  • Sandy Springs, GA
National Provider Identifier
1972767457
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
79388 Issued in GA
Practice address
North Pediatrics & Adolescent Medicine
6095 Barfield Rd. Suite 200
Sandy Springs, GA 30328
Phone
(404) 256-2688
Fax
(770) 685-7114
NPI assigned
Jul 15, 2008
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.097518 OH
Pediatrics Physician 208000000X R70175 AZ
Pediatrics Physician 208000000X A126120 CA
Pediatrics Physician 208000000X 79388 GA Primary

Addresses

Primary practice location

North Pediatrics & Adolescent Medicine
6095 Barfield Rd. Suite 200
Sandy Springs, GA 30328

Mailing address

North Pediatrics & Adolescent Medicine
6095 Barfield Rd. Suite 200
Sandy Springs, GA 30328
Phone (404) 256-2688

Other identifiers 1

IdentifierTypeStateIssuer
R70175OtherAZTRAINING PERMIT

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R70175AZMDPediatrics Physician
A126120CAMDPediatrics Physician
79388GAMDPediatrics Physician
35.097518OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Pediatrics & Adolescent Medicine PC Pediatrics PastSince Mar 29, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1972767457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH PEDIATRICS & ADOLESCENT MEDICINE",
            "address_2": "6095 BARFIELD RD. SUITE 200",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-2688",
            "fax_number": "770-685-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH PEDIATRICS & ADOLESCENT MEDICINE",
            "address_2": "6095 BARFIELD RD. SUITE 200",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-2688",
            "fax_number": "770-685-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASU",
        "first_name": "RESHMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.097518",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R70175",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A126120",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "79388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R70175",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.