JOHN P SUTYAK (M.D.) – Surgical Critical Care Physician, NPI 1679569172

JOHN P SUTYAK (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in Surgical Critical Care Physician. They hold the professional credentials M.D.. They hold a License No. 036-104455 (IL). The NPI Number for JOHN P SUTYAK (M.D.) is 1679569172

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P SUTYAK (M.D.)
NPI
1679569172
Phone
(217) 545-8000
Address
PO BOX 19663
Enumeration Date
21 September 2005
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2175458000
Graduation Year
1983 (43 years ago)
PAC ID
4880737287
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20100208000438

Contacts

Secure Messaging
johnsutyak@siusm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for JOHN P SUTYAK (M.D.)

  • PO BOX 19663

    SPRINGFIELD, IL 627949663

    Phone: (217) 545-8000

    Fax: (217) 545-7795

    Type: Mailing

  • 747 N RUTLEDGE ST FL 2

    SPRINGFIELD, IL 627026700

    Phone: (217) 545-8000

    Fax: (217) 545-7795

    Type: Location

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-8000

    Type: Mailing

  • 747, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States

    5TH FLOOR

    SPRINGFIELD, IL 627026700

    Phone: (217) 545-5183

    Fax: (217) 545-7795

    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: 2010-02-08

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
I20100208000438IGeneral SurgeryILTBD

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 minutes13455$0
99291Critical care, first 30-74 minutes7339$0
99238Hospital discharge day management, 30 minutes or less3636$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3322$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

Can I verify JOHN P SUTYAK (M.D.) with an NPI only?
You can start verification with NPI 1679569172 for JOHN P SUTYAK (M.D.), then check state licensing separately.
Can I rely on JOHN P SUTYAK (M.D.) being an active provider?
As of the registry snapshot, JOHN P SUTYAK (M.D.) is marked active.
What is JOHN P SUTYAK (M.D.) best known for clinically?
Directory data describes JOHN P SUTYAK (M.D.) with Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN P SUTYAK (M.D.)?
JOHN P SUTYAK (M.D.)'s geographic hint is Springfield, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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