SUSHMA NAGABHAIRAVA (MD) – Family Medicine Physician, NPI 1710265822
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for SUSHMA NAGABHAIRAVA (MD)
15505 E 127TH ST STE 100
LEMONT, IL 604394433
Phone: (630) 257-5400
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Exact Sciences Corporation ($77).
Total Amount
$325
General + Research + Ownership
Payments
18
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-07-24
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 |
|---|---|---|---|---|
| I20150724012340 | I | Family Practice | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 463 | 227 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 384 | 246 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 228 | 43 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 224 | 224 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 221 | 221 | $0 |
Insurance plans in this area (ZIP 60439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Pediatric Medicine, Internal Medicine | IL | |
| Family Practice | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Family Practice | IL |
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