SUDESH J EBENEZER (MD, ED.M., FRCSC) – Neurological Surgery Physician, NPI 1508824525

SUDESH J EBENEZER (MD, ED.M., FRCSC) is a healthcare provider. based in Carbondale, Illinois. specializing in NEUROSURGERY. They hold the professional credentials MD, ED.M., FRCSC. They hold a License No. 036175459 (IL). The NPI Number for SUDESH J EBENEZER (MD, ED.M., FRCSC) is 1508824525

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
SUDESH J EBENEZER (MD, ED.M., FRCSC)
NPI
1508824525
Phone
(618) 351-4972
Address
305 W Jackson St Ste 400
Enumeration Date
1 May 2006
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9164534545
Graduation Year
2000 (26 years ago)
PAC ID
8123117611
Group Practice PAC ID
7214006816
Professional Enrollment ID
I20240814002853
Address ID
CA958193626SA4001XSTXX300

Contacts

Secure Messaging
sebenezer85920@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

327 NEUROSURGERY in IL

Provider Addresses for SUDESH J EBENEZER (MD, ED.M., FRCSC)

  • 305 W Jackson St Ste 400

    Carbondale, IL 629011474

    Phone: (618) 351-4972

    Fax: (618) 351-4973

    Type: Location

  • South Saginaw Street, Flint, Genesee County, Michigan, 48529, United States

    SUITE 1800

    FLINT, MI 485072677

    Phone: (810) 732-8336

    Fax: (810) 963-1674

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($113).

Total Amount

$181

General + Research + Ownership

Payments

4

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2025-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20120726000326INeurosurgeryMITBD
I20240814002853INeurosurgeryCATBD
I20250924001830INeurosurgeryILTBD
I20251202000920INeurosurgeryNDTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11456$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9083$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 7214006816View full group profile
NameSpecialtyState
General SurgeryCA
General SurgeryPA
General SurgeryOK
Vascular Surgery, Thoracic Surgery, General SurgeryMI
General SurgeryMO
Orthopedic SurgeryNY
Physician AssistantVA
Nurse PractitionerMI
Orthopedic SurgeryCA
-CA

Reviews

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Frequently asked questions

Does SUDESH J EBENEZER (MD, ED.M., FRCSC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUDESH J EBENEZER (MD, ED.M., FRCSC) uses 1508824525.
Does the file indicate SUDESH J EBENEZER (MD, ED.M., FRCSC) is practicing under active NPI?
Directory data currently reports SUDESH J EBENEZER (MD, ED.M., FRCSC) as active.
What is SUDESH J EBENEZER (MD, ED.M., FRCSC) best known for clinically?
Directory data describes SUDESH J EBENEZER (MD, ED.M., FRCSC) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does SUDESH J EBENEZER (MD, ED.M., FRCSC) serve?
SUDESH J EBENEZER (MD, ED.M., FRCSC)'s listing highlights Carbondale, Illinois; more addresses can appear in NPPES.
Is the information about SUDESH J EBENEZER (MD, ED.M., FRCSC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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