DR. SUJIT PRASAD SHRESTHA (M.D.) – Specialist, NPI 1275686891
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
767 PATHOLOGY in IL
Provider Addresses for DR. SUJIT PRASAD SHRESTHA (M.D.)
PO BOX 775925
CHICAGO, IL 606775925
Phone: (815) 226-2000
Type: Mailing
5666 E STATE ST
ROCKFORD, IL 611082425
Phone: (815) 226-2000
Type: Location
75, Colonia de Salud, Sierra Vista, Cochise County, Arizona, 85635, United States
STE 200D
SIERRA VISTA, AZ 856352487
Phone: (520) 459-1984
Fax: (520) 452-1011
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.
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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: 2008-06-02
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 |
|---|---|---|---|---|
| I20080602000849 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 636 | 363 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 148 | 37 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 76 | 65 | $0 |
| 88104 | Cell examination of body fluid, smears | 59 | 38 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 48 | 43 | $0 |
Insurance plans in this area (ZIP 60677)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | AZ | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 74 | 67 |
| PATHOLOGY | AZ | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 38 | 27 |
| PATHOLOGY | AZ | 88342 | Tissue or cell analysis by immunologic technique | 81 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | GA |
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