MRS. AMITHA MUSHYAM (M.D.) – Family Medicine Physician, NPI 1972729283
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 MRS. AMITHA MUSHYAM (M.D.)
2507 N Richmond Rd
McHenry, IL 600515407
Phone:
Type: Location
10350 Haligus Rd
Huntley, IL 601429545
Phone: (815) 338-6600
Fax: (847) 802-7112
Type: Location
1925 Huntley Rd
West Dundee, IL 601189301
Phone: (815) 338-6600
Fax: (847) 426-5162
Type: Location
360 STATION DR
CRYSTAL LAKE, IL 600147978
Phone: (815) 338-6600
Fax: (815) 455-8044
Type: Mailing
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: 2009-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20091120000011 | I | Family Practice | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 444 | 268 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 173 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 109 | $0 |
| G0008 | Administration of influenza virus vaccine | 75 | 73 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 68 | 66 | $0 |
Insurance plans in this area (ZIP 60051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| C H I R O P R A C T I C | IL | |
| Family Practice | IL | |
| Physical Medicine And Rehabilitation | CO | |
| - | IL | |
| Hospitalist, Family Practice | IL |
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