EMILY MARIE FUKUDA (PA) – Physician Assistant, NPI 1356992341

EMILY MARIE FUKUDA (PA) is a healthcare provider. based in Chicago ridge, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.006108RX (OH). The NPI Number for EMILY MARIE FUKUDA (PA) is 1356992341

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EMILY MARIE FUKUDA (PA)
NPI
1356992341
Phone
Not provided
Address
10258 SOUTHWEST HWY STE A
Enumeration Date
22 September 2019
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1456783596
Professional Enrollment ID
I20210331002138
Address ID
IL604150000CH10258HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for EMILY MARIE FUKUDA (PA)

  • 10258 SOUTHWEST HWY STE A

    CHICAGO RIDGE, IL 604151361

    Phone:

    Type: Mailing

  • Hughes Drive, Toledo, Lucas County, Ohio, 43560:43606, United States

    TOLEDO, OH 436063845

    Phone:

    Type: Mailing

  • ProMedica Toledo Hospital, 2142, North Cove Boulevard, Toledo, Lucas County, Ohio, 43606, United States

    TOLEDO, OH 436063895

    Phone: (419) 291-2126

    Type: Location

  • 3333 BURNET AVE

    ML 1013

    CINCINNATI, OH 452293026

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $434.

Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Silk Road Medical, Inc. ($297).

Total Amount

$434

General + Research + Ownership

Payments

10

Total payment records

General Amount

$434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2021-03-31

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
I20191112001271IPhysician AssistantOHTBD
I20210331002138IPhysician AssistantILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes425358$0
99214Established patient office or other outpatient visit, 30-39 minutes8678$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4223$0
99212Established patient office or other outpatient visit, 10-19 minutes2725$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 60415)

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Reviews

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Frequently asked questions

Can I verify EMILY MARIE FUKUDA (PA) with an NPI only?
You can start verification with NPI 1356992341 for EMILY MARIE FUKUDA (PA), then check state licensing separately.
Can I rely on EMILY MARIE FUKUDA (PA) being an active provider?
As of the registry snapshot, EMILY MARIE FUKUDA (PA) is marked active.
What is EMILY MARIE FUKUDA (PA)'s specialty?
The listing groups EMILY MARIE FUKUDA (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is EMILY MARIE FUKUDA (PA) based?
EMILY MARIE FUKUDA (PA) is tied to Chicago Ridge, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about EMILY MARIE FUKUDA (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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