DR. PUSHPA KRISHNASAMI (MD) – Family Medicine Physician, NPI 1033156435

DR. PUSHPA KRISHNASAMI (MD) is a healthcare provider. based in Lincolnwood, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. C55741 (CA). The NPI Number for DR. PUSHPA KRISHNASAMI (MD) is 1033156435

Main info

Female
Name
DR. PUSHPA KRISHNASAMI (MD)
NPI
1033156435
Phone
(847) 864-9189
Address
7126 N Lincoln Ave
Enumeration Date
2 June 2006
Last Update Date
17 December 2021

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. PUSHPA KRISHNASAMI (MD)

  • 7126 N Lincoln Ave

    Lincolnwood, IL 607122234

    Phone: (847) 864-9189

    Fax: (847) 864-9196

    Type: Location

  • 1717, South Main Street, Milpitas, Santa Clara County, California, 95035, United States

    MILPITAS, CA 950356756

    Phone: (408) 957-5700

    Fax: (408) 957-5715

    Type: Mailing

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: 2019-05-16

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
I20190516002318IFamily PracticeCATBD

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 60712)

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Reviews

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Frequently asked questions

What NPI should I save for DR. PUSHPA KRISHNASAMI (MD)?
Save NPI 1033156435 if you need a stable reference for DR. PUSHPA KRISHNASAMI (MD).
Does this profile mean DR. PUSHPA KRISHNASAMI (MD) is currently active?
Yes — DR. PUSHPA KRISHNASAMI (MD) appears active in the national provider directory.
What kind of provider is DR. PUSHPA KRISHNASAMI (MD)?
The page reflects Family Medicine Physician for DR. PUSHPA KRISHNASAMI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. PUSHPA KRISHNASAMI (MD)?
We surface Lincolnwood, Illinois for DR. PUSHPA KRISHNASAMI (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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