MRS. MICHELLE ADICHITHARA – Family Nurse Practitioner, NPI 1174069512

MRS. MICHELLE ADICHITHARA is a healthcare provider. based in Streamwood, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209015427 (IL). The NPI Number for MRS. MICHELLE ADICHITHARA is 1174069512

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE ADICHITHARA
NPI
1174069512
Phone
(630) 854-7930
Address
932 TUSCANY DR
Enumeration Date
9 January 2017
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
2016 (10 years ago)
PAC ID
4587948542
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20170313000143
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
madichithara45472@direct.luhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. MICHELLE ADICHITHARA

  • 932, Tuscany Drive, Southwicke, Streamwood, Hanover Township, Cook County, Illinois, 60107, United States

    STREAMWOOD, IL 601074528

    Phone: (630) 854-7930

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

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: 2017-03-13

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
I20170313000143INurse PractitionerILTBD

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
69210Removal of impacted ear wax229179$0
99212Established patient office or other outpatient visit, 10-19 minutes211157$0
99213Established patient office or other outpatient visit, 20-29 minutes5548$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 60107)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. MICHELLE ADICHITHARA?
MRS. MICHELLE ADICHITHARA — NPI 1174069512 — is the standard way to identify this listing.
Is MRS. MICHELLE ADICHITHARA still practicing?
MRS. MICHELLE ADICHITHARA is currently listed as active in the public NPI registry.
What healthcare role does MRS. MICHELLE ADICHITHARA hold?
Scheduling teams often label MRS. MICHELLE ADICHITHARA under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. MICHELLE ADICHITHARA on a map?
Expect Streamwood, Illinois as a primary anchor for MRS. MICHELLE ADICHITHARA unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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