DR. SASIDHAR SOMURI (M.D) – Internal Medicine Physician, NPI 1285954206

DR. SASIDHAR SOMURI (M.D) is a healthcare provider. based in Jacksonville, Illinois. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 036125883 (IL). The NPI Number for DR. SASIDHAR SOMURI (M.D) is 1285954206

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SASIDHAR SOMURI (M.D)
NPI
1285954206
Phone
(217) 245-9541
Address
1600 W WALNUT ST
Enumeration Date
2 June 2010
Last Update Date
24 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3092814000
Graduation Year
2002 (24 years ago)
PAC ID
4981898400
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20101028001252
Address ID
IL612821804SI801XXDRXX300

Contacts

Secure Messaging
somuris@mercyone.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

2,392 HOSPITALIST in IL

Provider Addresses for DR. SASIDHAR SOMURI (M.D)

  • 1600 W WALNUT ST

    JACKSONVILLE, IL 626501136

    Phone: (217) 245-9541

    Type: Mailing

  • 5546 WILLMEYER DR

    BETTENDORF, IA 527222461

    Phone: (347) 463-0757

    Type: Mailing

  • 1410 N 4TH ST

    CLINTON, IA 527322940

    Phone: (563) 244-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
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: 2014-02-20

PECOS data refreshed: 2026-06-15

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
I20101028001252IHospitalistILTBD
I20140220000742IHospitalistIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes789312$0
99238Hospital discharge day management, 30 minutes or less234213$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10195$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5140$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 62650)

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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: 6103829338View full group profile
NameSpecialtyState
-IA
-IA
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
-IA
Emergency Medicine, Internal MedicineIA
-IA
-IA
Emergency Medicine, Family PracticeIA
H O S P I T A L I S TIL
-NV

Reviews

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Frequently asked questions

How do payers reference DR. SASIDHAR SOMURI (M.D)?
For DR. SASIDHAR SOMURI (M.D), use NPI 1285954206 as the unique 10-digit identifier.
Is DR. SASIDHAR SOMURI (M.D) shown as active in public data?
Registry records indicate DR. SASIDHAR SOMURI (M.D) maintains an active NPI.
What kind of doctor is DR. SASIDHAR SOMURI (M.D)?
DR. SASIDHAR SOMURI (M.D) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SASIDHAR SOMURI (M.D) associated with Jacksonville?
Public fields place DR. SASIDHAR SOMURI (M.D) around Jacksonville, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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