MR. DODI SUHARI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083043483

MR. DODI SUHARI (CRNA) is a healthcare provider. based in Normal, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 60828812 (WA). The NPI Number for MR. DODI SUHARI (CRNA) is 1083043483

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. DODI SUHARI (CRNA)
NPI
1083043483
Phone
(909) 709-6164
Address
2151 BOULDER DR
Enumeration Date
6 November 2013
Last Update Date
29 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733344822
Graduation Year
2013 (13 years ago)
PAC ID
1759505746
Group Practice PAC ID
9133024334
Professional Enrollment ID
I20210915000432
Address ID
MO637015230CA1701XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:12State licenses:3Digital endpointsOther names

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for MR. DODI SUHARI (CRNA)

  • 2151 BOULDER DR

    NORMAL, IL 617619601

    Phone: (909) 709-6164

    Type: Mailing

  • 400 N Pepper Ave

    Colton, CA 923241801

    Phone: (909) 580-1000

    Type: Location

  • 1304 FRANKLIN AVE

    NORMAL, IL 61761

    Phone: (309) 454-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141222002659ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20210915000432ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4343$0
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
00812Anesthesia for exam of colon using an endoscope3030$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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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: 9133024334View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YAR
-IL

Reviews

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Frequently asked questions

Is MR. DODI SUHARI (CRNA) listed with a National Provider Identifier?
Yes — MR. DODI SUHARI (CRNA) has NPI 1083043483 on file in the registry.
Would MR. DODI SUHARI (CRNA) appear as active to a payer?
You can treat MR. DODI SUHARI (CRNA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. DODI SUHARI (CRNA)?
At a glance, MR. DODI SUHARI (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. DODI SUHARI (CRNA)?
Travel planning: use Normal, Illinois as the reference point for MR. DODI SUHARI (CRNA), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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