SAMICCHYA ADHIKARI (DO) – Child & Adolescent Psychiatry Physician, NPI 1396205845
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Loading map...
Provider Addresses for SAMICCHYA ADHIKARI (DO)
720, Main Street, Peoria, Peoria County, Illinois, 61602, United States
PEORIA, IL 616025027
Phone: (309) 495-1640
Type: Location
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Fax: (859) 331-2858
Type: Mailing
820 DOLWICK DR
ERLANGER, KY 410182774
Phone: (859) 301-5901
Fax: (859) 331-2858
Type: Location
200 E CHESTNUT ST
LOUISVILLE, KY 402021831
Phone: (502) 588-0800
Type: Location
1 UNIVERSITY OF NEW MEXICO
MSC09 5030
ALBUQUERQUE, NM 87131
Phone: (505) 272-8244
Fax: (505) 272-4639
Type: Location
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alkermes, Inc. ($49).
Total Amount
$86
General + Research + Ownership
Payments
4
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $49 |
| Teva Pharmaceuticals USA, Inc. | $18 |
| Lundbeck LLC | $18 |
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: 2024-10-24
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 |
|---|---|---|---|---|
| I20241024000161 | I | Psychiatry | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61602)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| - | FL | |
| O P T O M E T R Y | TX | |
| N E U R O L O G Y | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.