SARAH DUTTA (MD) – Obstetrics & Gynecology Physician, NPI 1083648240

SARAH DUTTA (MD) is a healthcare provider. based in Urbana, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036113555 (IL). The NPI Number for SARAH DUTTA (MD) is 1083648240

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SARAH DUTTA (MD)
NPI
1083648240
Phone
(217) 383-3311
Address
602 W UNIVERSITY AVE
Enumeration Date
11 July 2006
Last Update Date
17 November 2009

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096610406
Graduation Year
1997 (29 years ago)
PAC ID
5193621811
Group Practice PAC ID
7719119007
Professional Enrollment ID
I20140421001972
Address ID
IL617013505BL107XXDRXX402
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

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for SARAH DUTTA (MD)

  • 602, West University Avenue, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012530

    Phone: (217) 383-3311

    Type: Mailing

  • 1701, East College Avenue, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617042101

    Phone: (217) 383-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $786.

Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Novo Nordisk Inc ($227).

Total Amount

$786

General + Research + Ownership

Payments

38

Total payment records

General Amount

$786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2014-04-21

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
I20140421001972IObstetrics/GynecologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1717$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 7719119007View full group profile

Reviews

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Frequently asked questions

What NPI should I save for SARAH DUTTA (MD)?
Save NPI 1083648240 if you need a stable reference for SARAH DUTTA (MD).
Is SARAH DUTTA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SARAH DUTTA (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for SARAH DUTTA (MD). Clinical services aligned with this taxonomy classification.
Where is SARAH DUTTA (MD)'s primary listing?
We display Urbana, Illinois because that is what the record indicates for SARAH DUTTA (MD).
How can I contact SARAH DUTTA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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