MRS. EVELYN RUTH SOMMARIVA (PA-C) – Physician Assistant, NPI 1619167657

MRS. EVELYN RUTH SOMMARIVA (PA-C) is a healthcare provider. based in Canton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005023 (MI). The NPI Number for MRS. EVELYN RUTH SOMMARIVA (PA-C) is 1619167657

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EVELYN RUTH SOMMARIVA (PA-C)
NPI
1619167657
Phone
(734) 495-1506
Address
285 N. LILLEY RD
Enumeration Date
26 July 2007
Last Update Date
1 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
0941357289
Group Practice PAC ID
6507923976
Professional Enrollment ID
I20090402000439
Address ID
MI481873907Ca285XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MRS. EVELYN RUTH SOMMARIVA (PA-C)

  • 285, North Lilley Road, Canton, Wayne County, Michigan, 48187, United States

    CANTON, MI 481874849

    Phone: (734) 495-1506

    Fax: (734) 495-1780

    Type: Location

  • 43151, Dalcoma Drive, Clinton Township, Macomb County, Michigan, 48038, United States

    SUITE 1

    CLINTON TOWNSHIP, MI 480386306

    Phone: (586) 286-8720

    Fax: (586) 286-8723

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $3,438.

Total Amount is formed as General ($3,438) + Research ($0) + Ownership ($0) = $3,438.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($917).

Total Amount

$3,438

General + Research + Ownership

Payments

156

Total payment records

General Amount

$3,438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2009-04-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090402000439IPhysician AssistantMITBD

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
17110Destruction of skin growth, 1-14 growths1514$0
View full utilization report →

Insurance plans in this area (ZIP 48187)

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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: 6507923976View full group profile
NameSpecialtyState
D E R M A T O L O G YMI
D E R M A T O L O G YMI
-MI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

Does MRS. EVELYN RUTH SOMMARIVA (PA-C) have a public NPI I can cite?
Public records show MRS. EVELYN RUTH SOMMARIVA (PA-C) under NPI 1619167657.
Quick check: is MRS. EVELYN RUTH SOMMARIVA (PA-C) active?
Public NPPES data shows MRS. EVELYN RUTH SOMMARIVA (PA-C) with an active NPI status right now.
What services align with MRS. EVELYN RUTH SOMMARIVA (PA-C)'s listing?
MRS. EVELYN RUTH SOMMARIVA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. EVELYN RUTH SOMMARIVA (PA-C)?
MRS. EVELYN RUTH SOMMARIVA (PA-C) is associated with Canton, Michigan in the same public data insurers reference.
Why is information missing for MRS. EVELYN RUTH SOMMARIVA (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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