MRS. SUMAN GOWDA SHAW (FNP-BC) – Family Nurse Practitioner, NPI 1780214718
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. SUMAN GOWDA SHAW (FNP-BC)
907 N ELM ST STE 101
HINSDALE, IL 605213644
Phone: (708) 482-4500
Type: Location
10930 CORTLAND LN
HUNTLEY, IL 601424075
Phone: (224) 678-2181
Type: Mailing
744 ESSINGTON RD
JOLIET, IL 604354912
Phone: (815) 729-0700
Fax: (815) 729-0707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $711.
Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Avanos Medical ($144).
Total Amount
$711
General + Research + Ownership
Payments
27
Total payment records
General Amount
$711
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $144 |
| Lilly USA, LLC | $118 |
| Biogen, Inc. | $105 |
| Teva Pharmaceuticals USA, Inc. | $88 |
| BANNER LIFE SCIENCES, LLC | $75 |
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: 2020-02-18
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 |
|---|---|---|---|---|
| I20200218001307 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | IL | |
| Nurse Practitioner | IL | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL |
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