MADE SUTJITA (M.D.) – Infectious Disease Physician, NPI 1053428334

MADE SUTJITA (M.D.) is a healthcare provider. based in Moreno valley, California. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. A77694 (CA). The NPI Number for MADE SUTJITA (M.D.) is 1053428334

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MADE SUTJITA (M.D.)
NPI
1053428334
Phone
(951) 656-1500
Address
PO BOX 7270
Enumeration Date
24 August 2006
Last Update Date
13 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
2860430238
Group Practice PAC ID
6507754488
Professional Enrollment ID
I20050418000876
Address ID
CA925553901MO26600AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for MADE SUTJITA (M.D.)

  • PO BOX 7270

    MORENO VALLEY, CA 925527270

    Phone: (951) 656-1500

    Fax: (951) 656-1510

    Type: Mailing

  • Riverside University Health System - Medical Center, 26520, Cactus Avenue, Moreno Valley, Riverside County, California, 92555, United States

    MORENO VALLEY, CA 925553927

    Phone: (951) 486-5700

    Fax: (951) 486-5705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-18

PECOS data refreshed: 2026-05-27

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
I20050418000876IInfectious DiseaseCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8682$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7244$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2826$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 92552)

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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: 6507754488View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
-CA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
-CA
P S Y C H I A T R YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for MADE SUTJITA (M.D.) in the U.S.?
In the U.S., MADE SUTJITA (M.D.) is identified by NPI 1053428334.
Does the public listing show MADE SUTJITA (M.D.) as active?
MADE SUTJITA (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits MADE SUTJITA (M.D.)?
NPPES ties MADE SUTJITA (M.D.) to Infectious Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MADE SUTJITA (M.D.)?
MADE SUTJITA (M.D.) shows a connection to Moreno Valley, California in registry-derived data.
Can I export MADE SUTJITA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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