Brad L. Suprenant, DO
NPI 1760467377ActiveIndividual· Internal Medicine, Clinical Cardiac Electrophysiology· Kankakee, IL
Internal Medicine, Clinical Cardiac Electrophysiology (DO) in Kankakee, Illinois, licensed in IL and IN, with an NPI issued in December 2005. Enrolled in Medicare as practitioner - cardiac electrophysiology.
Overview
| NPI | 1760467377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Dec 7, 2005 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology Primary | 207RC0001X | 036071427 | IL |
| Internal Medicine, Clinical Cardiac Electrophysiology | 207RC0001X | 02001098A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiac Electrophysiology (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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