SHUJERA BHUTTA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1316357957
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHUJERA BHUTTA (MD)
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 402235176
Phone: (502) 253-4914
Fax: (502) 489-5751
Type: Mailing
1851 N MAIN ST
MADISONVILLE, KY 424319024
Phone: (270) 825-7268
Type: Location
1851 N Main St
Madisonville, KY 424319024
Phone: (270) 825-7268
Type: Location
200 Clinic Dr
Madisonville, KY 424311661
Phone: (270) 825-6680
Fax: (270) 825-7266
Type: Location
100 WOODS RD
VALHALLA, NY 105951530
Phone: (914) 493-7000
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 $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Kerecis Limited ($208).
Total Amount
$376
General + Research + Ownership
Payments
4
Total payment records
General Amount
$376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $208 |
| W. L. Gore & Associates, Inc. | $145 |
| Solventum Corporation | $23 |
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: 2024-09-20
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 |
|---|---|---|---|---|
| I20150825004973 | I | Family Practice | KY | TBD |
| I20180522002465 | I | Family Practice | AZ | TBD |
| I20240920003536 | I | Family Practice | LA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 40223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| Critical Care (Intensivists), Internal Medicine, Hospitalist, Pulmonary Disease | CA | |
| Internal Medicine | NY | |
| Internal Medicine | AZ | |
| Internal Medicine, Hospitalist | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NM | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ |
Reviews
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