SUJITHRA REPRAKASH (PA-C) – Physician Assistant, NPI 1699330811
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for SUJITHRA REPRAKASH (PA-C)
378, Deering Lane, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604406165
Phone:
Type: Mailing
364 Torrence Ave
Calumet City, IL 604091902
Phone: (773) 233-4100
Fax: (708) 868-6910
Type: Location
Torrence Avenue, Calumet City, Thornton Township, Cook County, Illinois, 60409-9998, United States
CALUMET CITY, IL 604091902
Phone: (773) 233-4100
Fax: (708) 868-6910
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
70 CLAIREDAN DR
POWELL, OH 430657340
Phone: (614) 533-6850
Fax: (614) 781-1434
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($78).
Total Amount
$140
General + Research + Ownership
Payments
6
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $78 |
| Exact Sciences Corporation | $45 |
| Organon LLC | $17 |
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: 2020-07-31
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 |
|---|---|---|---|---|
| I20200731002024 | I | Physician Assistant | OH | 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 60440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | OH | |
| Endocrinology, Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH |
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