DR. SUMAN KANT SETIA (M.D.) – Adult Medicine Physician, NPI 1871560169
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,828 INTERNAL MEDICINE in IL
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Provider Addresses for DR. SUMAN KANT SETIA (M.D.)
8940, Golden Oak Court, Hickory Hills, Palos Township, Cook County, Illinois, 60457, United States
HICKORY HILLS, IL 604573202
Phone: (708) 237-0667
Type: Mailing
3900, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States
#3
EVERGREEN PARK, IL 608051922
Phone: (708) 423-3242
Fax: (708) 423-2856
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: 2004-07-19
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 |
|---|---|---|---|---|
| I20040719001018 | I | Internal Medicine | 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 | 651 | 183 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 270 | 130 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 153 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 113 | 47 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $0 |
Insurance plans in this area (ZIP 60457)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 85610 | Blood test, clotting time | 104 | 19 |
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