DR. NANTHINI SUTHAN (M.D) – Internal Medicine Physician, NPI 1053504506

DR. NANTHINI SUTHAN (M.D) is a healthcare provider. based in East alton, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 059772 (GA). The NPI Number for DR. NANTHINI SUTHAN (M.D) is 1053504506

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANTHINI SUTHAN (M.D)
NPI
1053504506
Phone
(618) 258-0485
Address
2 Terminal Dr
Enumeration Date
18 August 2007
Last Update Date
7 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186245510
Graduation Year
1999 (27 years ago)
PAC ID
7719073816
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20071022000149
Address ID
IL622691953OF1512XRDXX502

Contacts

Secure Messaging
nsuthan106199@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. NANTHINI SUTHAN (M.D)

  • 2 Terminal Dr

    Suite 8

    East Alton, IL 620242201

    Phone: (618) 258-0485

    Fax: (618) 258-4815

    Type: Location

  • 2 TERMINAL DR

    SUITE 8

    EAST ALTON, IL 620242201

    Phone: (618) 258-0485

    Fax: (618) 258-4815

    Type: Mailing

  • 12860 TROXLER AVE

    HIGHLAND, IL 622492898

    Phone: (618) 651-2810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($124).

Total Amount

$436

General + Research + Ownership

Payments

25

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2011-02-23

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
I20110223000798IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62024)

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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: 5092857821View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. NANTHINI SUTHAN (M.D) across health systems?
The NPI 1053504506 uniquely identifies DR. NANTHINI SUTHAN (M.D) in U.S. healthcare data.
Should I treat DR. NANTHINI SUTHAN (M.D) as an active provider?
Patients and plans typically see DR. NANTHINI SUTHAN (M.D) as active in the national extract.
What type of care does DR. NANTHINI SUTHAN (M.D) provide?
DR. NANTHINI SUTHAN (M.D)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NANTHINI SUTHAN (M.D)?
DR. NANTHINI SUTHAN (M.D) shows a connection to East Alton, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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