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Dr. Noopur Basu, MD

Emergency Medicine in Jacksonville, FL. Individual provider (NPI-1).

NPI number1962021972
StatusActive
Last updated in NPPESAug 31, 2024

Details

NPI
1962021972
Entity type
Individual (NPI-1)
Name
Dr. Noopur Basu
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2020
Certification date
Aug 31, 2024
Last updated
Aug 31, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineME169059FLYes

Other names

  • Noopur Tripathi (Former Name)

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Phone 904-244-5044 · Fax 904-244-4508

Mailing address

Po Box 100186
Gainesville, FL 32610-0186

Phone 352-265-5911 · Fax 352-265-5606

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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