Brad L Suprenant (NPI# 1760467377, PAC ID# 1355254665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1760467377 |
| PAC ID by PECOS | 1355254665 |
| Professional Enrollment ID | I20090714000624 |
| Full Name | Brad L Suprenant |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Address |
5775 E State Route 113 Coal City IL 60416-7111 |
| Phone Number | 8156340100 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 3274434717 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5775 E State Route 113, Coal City, IL 60416-7111 | 8156340100 | RIVERSIDE HEALTH SYSTEM |
| 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 | 8154645440 | RIVERSIDE HEALTH SYSTEM |
| 350 N Wall St 4th Floor, Kankakee, IL 60901-2901 | 81593316714592 | RIVERSIDE HEALTH SYSTEM |
| 375 N Wall St, P520, Kankakee, IL 60901-3493 | 8159330194 | RIVERSIDE HEALTH SYSTEM |
| 500 N Wall St, Kankakee, IL 60901-2942 | RIVERSIDE HEALTH SYSTEM | |
| 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 | 8159371237 | RIVERSIDE HEALTH SYSTEM |
| 105 S 1st St, Willmington, IL 60481-8973 | 8154765210 | RIVERSIDE HEALTH SYSTEM |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_326_overall | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | 99% |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Abdelhafez Issa | Physical Medicine and Rehabilitation | Riverside Health System | 375 N Wall St, P520, Kankakee, IL 60901-3493 |
| Jenna Nicole Sarna | Nurse Practitioner | Riverside Health System | 25711 S Egyptian Trail, Monee, IL 60449-8118 |
| Joshua Devereux Miller | Orthopedic Surgery | Riverside Health System | 400 Riverside Dr, Suite 2800, Bourbonnais, IL 60914-5004 |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Timothy Warren Damrow | Family Medicine | Riverside Health System | 395 N Locust St, Manteno, IL 60950-1222 |
| Sana Hussain | Endocrinology | Riverside Health System | 100 Fitness Dr, Bourbonnais, IL 60914-9584 |
| Sarah Coyne | Nurse Practitioner | Riverside Health System | 401 N Wall St, Suite 206, Kankakee, IL 60901-2949 |
| Lori Cornelius | Nurse Practitioner | Riverside Health System | 720 Bs Crescent St, Gilman, IL 60938-1518 |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Jessica M Azoff | Psychiatry | Riverside Health System | 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 |
| Street Address |
5775 E STATE ROUTE 113 |
| City | COAL CITY |
| State | IL |
| Zip | 60416-7111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Firas M Sibai | Rheumatology | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Abhimanyu Beri | Cardiac Electrophysiology | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Ami Vaidya | Pulmonary Disease | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Nha T Huynh | Cardiovascular Disease (cardiology) | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Georgina G Lopez | Nurse Practitioner | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Brittani Ann Seagren | Nurse Practitioner | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Kelly Christine White | Nurse Practitioner | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Wendy A Dyer | Nurse Practitioner | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| N'djamina Angelika Robinson | Family Medicine | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Raymond G Maceren | Family Medicine | Riverside Health System | 5775 E State Route 113, Coal City, IL 60416-7111 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander J Linko | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1033 E Division St, Coal City, IL 60416 |
| Spyro D Analytis | Internal Medicine | Morris Hospital | 460 N Broadway St, Coal City, IL 60416-1045 |
| Roman M Smyk | General Surgery | 460 N Broadway St, Coal City, IL 60416-1045 | |
| Stacey R Johnson | Nurse Practitioner | Morris Hospital | 4 E N St, Coal City, IL 60416-1087 |
| Laura K Barry | Chiropractic | Weber Micetich Chiropractic PC | 24 E N St, Coal City, IL 60416-1087 |
| Juli W Micetich | Chiropractic | Weber Micetich Chiropractic PC | 24 E N St, Coal City, IL 60416-1087 |
| Pamela G Raber | Clinical Social Worker | 740 E Division St, Coal City, IL 60416-1337 | |
| Howard C Fox | Podiatry | 810 E Division St, Coal City, IL 60416-1338 | |
| Daniel M Jurak | Family Medicine | 935 E Division St, Diamond, IL 60416-1346 | |
| Burgundy L Lander | Chiropractic | 415 W Division St, Coal City, IL 60416-1405 | |
| Find all physicians in zip 60416 | |||
| City | COAL CITY |
| Zip Code | 60416 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | COAL CITY + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Brad L Suprenant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.