DR. RANDY K II SULAVER (M.D.) – Urology Physician, NPI 1982968756

DR. RANDY K II SULAVER (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 125061943 (IL). The NPI Number for DR. RANDY K II SULAVER (M.D.) is 1982968756

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY K II SULAVER (M.D.)
NPI
1982968756
Phone
(217) 545-7500
Address
PO BOX 19665
Enumeration Date
26 June 2012
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
2175458000
Graduation Year
2012 (14 years ago)
PAC ID
0042450652
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20180710000080
Address ID
IL625264171DE302XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

543 UROLOGY in IL

Provider Addresses for DR. RANDY K II SULAVER (M.D.)

  • PO BOX 19665

    SPRINGFIELD, IL 627949665

    Phone: (217) 545-7500

    Fax: (217) 545-7305

    Type: Mailing

  • 301 N 8TH ST # 4B

    SPRINGFIELD, IL 627011041

    Phone: (217) 545-7500

    Fax: (217) 545-7305

    Type: Location

  • NAVAL SPECIAL WARFARE GROUP 4

    2200 SCHOFIELD RD #200

    NORFOLK, VA 23521

    Phone: (757) 763-4080

    Type: Mailing

  • 201 E MADISON ST STE 328

    SPRINGFIELD, IL 627025131

    Phone: (217) 545-8000

    Type: Mailing

  • 302 W HAY ST STE 200

    DECATUR, IL 625264171

    Phone: (217) 545-8000

    Fax: (217) 872-1958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boston Scientific Corporation ($196).

Total Amount

$339

General + Research + Ownership

Payments

5

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2018-07-10

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
I20180710000080IUrologyILTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes11594$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8637$0
81003Automated urinalysis test8574$0
74420Imaging of urinary tract following injection of a contrast agent4735$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3938$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up DR. RANDY K II SULAVER (M.D.) by NPI?
Use NPI 1982968756 when you need to reference DR. RANDY K II SULAVER (M.D.) in forms, claims, or directories.
Is DR. RANDY K II SULAVER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. RANDY K II SULAVER (M.D.) work in?
You can think of DR. RANDY K II SULAVER (M.D.) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. RANDY K II SULAVER (M.D.)?
We surface Springfield, Illinois for DR. RANDY K II SULAVER (M.D.) based on available NPPES addresses.
Is DR. RANDY K II SULAVER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1982968756. Always confirm identity and privileges with the practice and licensing boards.

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