SUDEEPTA DANDAPAT (MD) – Neurology Physician, NPI 1073801882
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
193 NEUROLOGY in IA
Provider Addresses for SUDEEPTA DANDAPAT (MD)
200 Hawkins Dr
Department of Neurology
Iowa City, IA 522421009
Phone: (319) 356-1616
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (303) 436-2727
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (414) 389-2377
Type: Mailing
2801 W KINNICKINNIC RIVER PKWY STE 680
MILWAUKEE, WI 532153633
Phone: (414) 385-1922
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $418.
Total Amount is formed as General ($418) + Research ($0) + Ownership ($0) = $418.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: MicroVention, Inc. ($234).
Total Amount
$418
General + Research + Ownership
Payments
4
Total payment records
General Amount
$418
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MicroVention, Inc. | $234 |
| DePuy Synthes Sales Inc. | $115 |
| Balt USA, LLC | $68 |
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: 2024-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170511000077 | I | Neurology | IA | TBD |
| I20200624002255 | I | Neurology | WI | TBD |
| I20241206001502 | I | Neurology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 36224 | Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist | 16 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
| 61645 | Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance | 11 | 11 | $0 |
Insurance plans in this area (ZIP 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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