DR. RENEETA BASU (D.O.) – Family Medicine Physician, NPI 1003235417

DR. RENEETA BASU (D.O.) is a healthcare provider. based in West palm beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OT015694 (PA). The NPI Number for DR. RENEETA BASU (D.O.) is 1003235417

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENEETA BASU (D.O.)
NPI
1003235417
Phone
(561) 420-8555
Address
2007 Palm Beach Lakes Blvd
Enumeration Date
14 April 2014
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7707857669
Graduation Year
2014 (12 years ago)
PAC ID
4688908320
Group Practice PAC ID
9739305749
Professional Enrollment ID
I20200420003422
Address ID
GA300946640CO875XXSEXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Digital endpointsOther names

6,754 FAMILY PRACTICE in FL

Provider Addresses for DR. RENEETA BASU (D.O.)

  • 2007 Palm Beach Lakes Blvd

    West Palm Beach, FL 33409

    Phone: (561) 420-8555

    Fax: (561) 420-8550

    Type: Location

  • 1500 Fifth Ave

    McKeesport, PA 151322422

    Phone: (412) 664-2167

    Type: Location

  • 1365 CLIFTON RD NE

    ATLANTA, GA 303221013

    Phone:

    Type: Mailing

  • 615 BEAVER RUIN RD NW

    LILBURN, GA 300473401

    Phone: (770) 935-8616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200420003422IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16579$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5252$0
81002Urinalysis, manual test4945$0
83036Hemoglobin a1c level4122$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3838$0
View full utilization report →

Insurance plans in this area (ZIP 33409)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739305749View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Medicine And RehabilitationFL
N E U R O S U R G E R YGA
Clinical PsychologistAL
Physician AssistantGA
Internal Medicine, Pediatric MedicineGA
Internal Medicine, NephrologyGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

Can I cross-check DR. RENEETA BASU (D.O.) using NPI 1003235417?
NPI 1003235417 belongs to DR. RENEETA BASU (D.O.); compare other details if you need extra assurance.
Is DR. RENEETA BASU (D.O.) shown as active in public data?
Registry records indicate DR. RENEETA BASU (D.O.) maintains an active NPI.
What area of care is associated with DR. RENEETA BASU (D.O.)?
DR. RENEETA BASU (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. RENEETA BASU (D.O.) located near West Palm Beach?
DR. RENEETA BASU (D.O.) currently maps to West Palm Beach, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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