DR. NAWAZ SUDDLE (M.D.) – Internal Medicine Physician, NPI 1366478927

DR. NAWAZ SUDDLE (M.D.) is a healthcare provider. based in Kane, Pennsylvania. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD069060L (PA). The NPI Number for DR. NAWAZ SUDDLE (M.D.) is 1366478927

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAWAZ SUDDLE (M.D.)
NPI
1366478927
Phone
(814) 837-4560
Address
4372 ROUTE 6
Enumeration Date
24 June 2006
Last Update Date
18 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148374770
Graduation Year
1977 (49 years ago)
PAC ID
5698743714
Group Practice PAC ID
7113814625
Professional Enrollment ID
I20040917000021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NAWAZ SUDDLE (M.D.)

  • T6, Aurora, Kane County, Illinois, United States

    KANE, PA 167353060

    Phone: (814) 837-4560

    Fax: (814) 837-7905

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-17

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
I20040917000021IInternal MedicinePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16735)

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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: 7113814625View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyPA
-NV
Certified Registered Nurse Anesthetist (Crna)PA
General SurgeryPA
Physician AssistantPA
Internal MedicinePA
-PA
P O D I A T R YKY
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

Is DR. NAWAZ SUDDLE (M.D.) listed with a National Provider Identifier?
Yes — DR. NAWAZ SUDDLE (M.D.) has NPI 1366478927 on file in the registry.
Would DR. NAWAZ SUDDLE (M.D.) appear as active to a payer?
You can treat DR. NAWAZ SUDDLE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. NAWAZ SUDDLE (M.D.)?
DR. NAWAZ SUDDLE (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. NAWAZ SUDDLE (M.D.) located near Kane?
DR. NAWAZ SUDDLE (M.D.) currently maps to Kane, Pennsylvania in this extract.
Does DR. NAWAZ SUDDLE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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