SUJAATA DWADASI (M.D.) – Gastroenterology Physician, NPI 1609295518

SUJAATA DWADASI (M.D.) is a healthcare provider. based in Fishers, Indiana. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 336103981 (IL). The NPI Number for SUJAATA DWADASI (M.D.) is 1609295518

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SUJAATA DWADASI (M.D.)
NPI
1609295518
Phone
(317) 415-9277
Address
13914 Southeastern Pkwy Ste 204
Enumeration Date
8 April 2014
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5123440450
Graduation Year
2014 (12 years ago)
PAC ID
6305114356
Group Practice PAC ID
3072507789
Professional Enrollment ID
I20230130001165
Address ID
TX787313100AU6818XBLVD404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:12State licenses:4Digital endpointsOther names

448 GASTROENTEROLOGY in IN

Provider Addresses for SUJAATA DWADASI (M.D.)

  • 13914 Southeastern Pkwy Ste 204

    Fishers, IN 460377125

    Phone: (317) 415-9277

    Type: Location

  • 2115 WILLOWBROOK DR

    APT. 137

    WEST LAFAYETTE, IN 479064975

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE # MC4076

    CHICAGO, IL 606371447

    Phone: (773) 702-8692

    Type: Location

  • 611 W PARK ST

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • 6210 E HWY 290 STE 240

    AUSTIN, TX 787231144

    Phone:

    Type: Mailing

  • 6818 AUSTIN CENTER BLVD STE 205

    AUSTIN, TX 787313100

    Phone: (512) 344-0450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $20,065.

Total Amount is formed as General ($20,065) + Research ($0) + Ownership ($0) = $20,065.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ABBVIE INC. ($13,316).

Total Amount

$20,065

General + Research + Ownership

Payments

36

Total payment records

General Amount

$20,065

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2023-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210108002317IInternal MedicineILTBD
I20230130001165IGastroenterologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5038$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2121$0
45380Biopsy of large bowel using a flexible endoscope1717$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1616$0
View full utilization report →

Insurance plans in this area (ZIP 46037)

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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: 3072507789View full group profile

Reviews

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Frequently asked questions

Can I verify SUJAATA DWADASI (M.D.) with an NPI only?
You can start verification with NPI 1609295518 for SUJAATA DWADASI (M.D.), then check state licensing separately.
Does CMS list SUJAATA DWADASI (M.D.) as active?
Yes — SUJAATA DWADASI (M.D.) is active in the NPI listing used on this page.
What healthcare role does SUJAATA DWADASI (M.D.) hold?
Scheduling teams often label SUJAATA DWADASI (M.D.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SUJAATA DWADASI (M.D.)?
SUJAATA DWADASI (M.D.)'s geographic hint is Fishers, Indiana in our summary view.
Why does SUJAATA DWADASI (M.D.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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