DR. SURESH DUVVADA (MD) – Internal Medicine Physician, NPI 1427623503

DR. SURESH DUVVADA (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036168734 (IL). The NPI Number for DR. SURESH DUVVADA (MD) is 1427623503

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURESH DUVVADA (MD)
NPI
1427623503
Phone
(815) 329-6500
Address
400 N WALL ST STE B302
Enumeration Date
21 May 2021
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159356569
Graduation Year
2019 (7 years ago)
PAC ID
6507256914
Group Practice PAC ID
3779876636
Professional Enrollment ID
I20240530002917
Address ID
IL605591296WE700XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

Provider Addresses for DR. SURESH DUVVADA (MD)

  • 400 N WALL ST STE B302

    KANKAKEE, IL 609012940

    Phone: (815) 329-6500

    Type: Mailing

  • 350 N WALL ST STE B302

    KANKAKEE, IL 609012901

    Phone: (815) 329-6500

    Fax: (815) 348-6213

    Type: Location

  • LOYOLA MEDICINE MACNEAL HOSPITAL

    3249 S. OAK PARK AVE

    BERWYN, IL 60402

    Phone: (708) 783-3401

    Type: Mailing

  • 3722 SOUTH HARLEM AVE. MACNEAL CENTER FOR INTERNAL MED

    SUITE LL34

    RIVERSIDE, IL 60546

    Phone: (708) 783-6566

    Fax: (708) 783-6567

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240530002917IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60901)

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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: 3779876636View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineFL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL

Reviews

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Frequently asked questions

How do I look up DR. SURESH DUVVADA (MD) by NPI?
Use NPI 1427623503 when you need to reference DR. SURESH DUVVADA (MD) in forms, claims, or directories.
Is DR. SURESH DUVVADA (MD) active in the national directory?
DR. SURESH DUVVADA (MD)'s public NPI profile is in an active state.
What kind of provider is DR. SURESH DUVVADA (MD)?
The page reflects Internal Medicine Physician for DR. SURESH DUVVADA (MD). Clinical services aligned with this taxonomy classification.
Does DR. SURESH DUVVADA (MD) practice in Illinois?
You will see Kankakee, Illinois on file for DR. SURESH DUVVADA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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