MARINA SODAGAR (P.A.) – Physician Assistant, NPI 1346542289

MARINA SODAGAR (P.A.) is a healthcare provider. based in Grayslake, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 4855 (WI). The NPI Number for MARINA SODAGAR (P.A.) is 1346542289

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARINA SODAGAR (P.A.)
NPI
1346542289
Phone
Not provided
Address
18931 W WASHINGTON ST
Enumeration Date
29 November 2010
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
MERCY COLLEGE
Secondary Phone
2625514600
Graduation Year
2010 (16 years ago)
PAC ID
2860715307
Group Practice PAC ID
9537071196
Professional Enrollment ID
I20240206001486
Address ID
WI531443430KE3400XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MARINA SODAGAR (P.A.)

  • 18931 W WASHINGTON ST

    GRAYSLAKE, IL 600301101

    Phone:

    Type: Mailing

  • 3400 MARKET LN STE 300

    KENOSHA, WI 531443430

    Phone: (262) 551-4600

    Fax: (262) 551-4630

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,466.

Total Amount is formed as General ($1,466) + Research ($0) + Ownership ($0) = $1,466.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($267).

Total Amount

$1,466

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-02-06

PECOS data refreshed: 2026-05-27

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
I20170404001123IPhysician AssistantILTBD
I20240206001486IPhysician AssistantWITBD

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 minutes11665$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7255$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6659$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3015$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 60030)

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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: 9537071196View full group profile
NameSpecialtyState
E N D O C R I N O L O G YWI
Hospitalist, Family PracticeWI
Diagnostic RadiologyWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YWI
Pulmonary DiseaseWI
Physician AssistantIN

Reviews

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Frequently asked questions

What is the standard ID for MARINA SODAGAR (P.A.) in the U.S.?
In the U.S., MARINA SODAGAR (P.A.) is identified by NPI 1346542289.
Quick check: is MARINA SODAGAR (P.A.) active?
Public NPPES data shows MARINA SODAGAR (P.A.) with an active NPI status right now.
What services align with MARINA SODAGAR (P.A.)'s listing?
MARINA SODAGAR (P.A.)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MARINA SODAGAR (P.A.)?
MARINA SODAGAR (P.A.) shows a connection to Grayslake, Illinois in registry-derived data.
Why is information missing for MARINA SODAGAR (P.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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