DEEPA SURENDRA SHETH (MD) – Diagnostic Radiology Physician, NPI 1174753263
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DEEPA SURENDRA SHETH (MD)
155 E. Brush Hill Rd.
Elmhurst Radiologists, SC
Elmhurst, IL 601265658
Phone: (331) 221-5420
Fax: (331) 221-3701
Type: Location
5841 S MARYLAND AVE - MC 2026
CHICAGO, IL 60637
Phone: (773) 702-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $5,330.
Total Amount is formed as General ($5,330) + Research ($0) + Ownership ($0) = $5,330.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Canon Medical Systems USA, Inc. ($5,330).
Total Amount
$5,330
General + Research + Ownership
Payments
4
Total payment records
General Amount
$5,330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Canon Medical Systems USA, Inc. | $5,330 |
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: 2015-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150818003846 | I | Diagnostic Radiology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 882 | 882 | $0 |
| 77063 | Screening 3d breast mammography | 668 | 668 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 218 | 218 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 201 | 201 | $0 |
| 77066 | Diagnostic mammography of both breasts | 130 | 130 | $0 |
Insurance plans in this area (ZIP 60126)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 52 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Nuclear Medicine | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA |
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