DR. BETH A SUM (MD) – Obstetrics & Gynecology Physician, NPI 1780643734

DR. BETH A SUM (MD) is a healthcare provider. based in Bannockburn, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036093551 (IL). The NPI Number for DR. BETH A SUM (MD) is 1780643734

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETH A SUM (MD)
NPI
1780643734
Phone
(847) 562-1410
Address
2801 LAKESIDE DR STE 209
Enumeration Date
20 March 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8474992648
Graduation Year
1994 (32 years ago)
PAC ID
5294772752
Group Practice PAC ID
7012818354
Professional Enrollment ID
I20050415000322
Address ID
IL600761231SK4709XRDXX306

Contacts

FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
bsum205873@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for DR. BETH A SUM (MD)

  • Lakeside Drive, Bannockburn, Illinois, United States

    BANNOCKBURN, IL 600151271

    Phone: (847) 562-1410

    Fax: (847) 562-0830

    Type: Mailing

  • 9301 GOLF RD STE 101

    DES PLAINES, IL 600161600

    Phone: (847) 318-9350

    Fax: (847) 318-2906

    Type: Location

  • West Dempster Street, Park Ridge, Cook County, Illinois, 60068, United States

    SUITE 145

    PARK RIDGE, IL 600681125

    Phone: (847) 318-9350

    Fax: (847) 318-2906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,177.

Total Amount is formed as General ($1,177) + Research ($0) + Ownership ($0) = $1,177.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($224).

Total Amount

$1,177

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-23

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: 2005-04-15

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
I20050415000322IObstetrics/GynecologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1919$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1212$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60015)

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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: 7012818354View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What NPI should I save for DR. BETH A SUM (MD)?
Save NPI 1780643734 if you need a stable reference for DR. BETH A SUM (MD).
Is DR. BETH A SUM (MD)'s NPI currently valid?
The extract we use shows DR. BETH A SUM (MD) as active.
Does DR. BETH A SUM (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for DR. BETH A SUM (MD). Clinical services aligned with this taxonomy classification.
Does DR. BETH A SUM (MD) practice in Illinois?
You will see Bannockburn, Illinois on file for DR. BETH A SUM (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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