SUPRIYA TODKAR (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1942683958

SUPRIYA TODKAR (MD) is a healthcare provider. based in Jackson, Michigan. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301107773 (MI). The NPI Number for SUPRIYA TODKAR (MD) is 1942683958

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SUPRIYA TODKAR (MD)
NPI
1942683958
Phone
(517) 788-4800
Address
205 N EAST AVE
Enumeration Date
8 July 2015
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136862663
Graduation Year
2011 (15 years ago)
PAC ID
4688988033
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20240116002586
Address ID
OH452366704CI4760XRDXX412
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

300 ENDOCRINOLOGY in MI

Provider Addresses for SUPRIYA TODKAR (MD)

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (517) 788-4800

    Fax: (517) 817-7050

    Type: Mailing

  • 205 N East Ave

    Jackson, MI 492011753

    Phone: (517) 788-4800

    Fax: (517) 817-7050

    Type: Location

  • 4760 E GALBRAITH RD STE 212

    CINCINNATI, OH 452366704

    Phone: (513) 686-2663

    Fax: (513) 686-3637

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2024-01-16

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
I20240116002586IEndocrinologyOHTBD

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 minutes333170$0
83036Hemoglobin a1c level14990$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report11456$0
99213Established patient office or other outpatient visit, 20-29 minutes3330$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Orthopedic Surgery, Sports MedicineOH
Surgical OncologyOH
Vascular SurgeryOH
Thoracic SurgeryCA
General SurgeryOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for SUPRIYA TODKAR (MD)?
SUPRIYA TODKAR (MD) — NPI 1942683958 — is the standard way to identify this listing.
Is SUPRIYA TODKAR (MD) listed as active for patients and plans?
The listing shows SUPRIYA TODKAR (MD) as active in the NPI system.
What healthcare role does SUPRIYA TODKAR (MD) hold?
Scheduling teams often label SUPRIYA TODKAR (MD) under Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where is SUPRIYA TODKAR (MD) based?
SUPRIYA TODKAR (MD) is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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