SUTINDERPAL JUDGE M.D., PC – Allergy & Immunology Physician, NPI 1295883064

SUTINDERPAL JUDGE M.D., PC is a healthcare provider. based in Saint joseph, Michigan. specializing in Allergy & Immunology Physician. The organization holds a License No. 01079577A (IN). The NPI Number for SUTINDERPAL JUDGE M.D., PC is 1295883064

Main info

Organization
Name
SUTINDERPAL JUDGE M.D., PC
NPI
1295883064
Phone
(269) 429-1085
Address
2550 NILES RD
Authorized Official
SUTINDERPAL JUDGE PRESIDENT M.D.
Enumeration Date
8 January 2007
Last Update Date
12 April 2021

Contacts

Secure Messaging
Judge.Sutinderpal.001.0220010@AASSJ.meditab.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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Provider Addresses for SUTINDERPAL JUDGE M.D., PC

  • 2550, Niles Road, Vineland, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States

    SAINT JOSEPH, MI 490853270

    Phone: (269) 429-1085

    Fax: (269) 429-2202

    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: 2004-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (225 days ago).

Enrollment records

1

Earliest due date

2025-10-31

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
O20040723000571OClinic/Group PracticeMI2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 49085)

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Reviews

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Frequently asked questions

How is SUTINDERPAL JUDGE M.D., PC identified in CMS data?
CMS-hosted NPPES data lists SUTINDERPAL JUDGE M.D., PC with NPI 1295883064.
Does CMS list SUTINDERPAL JUDGE M.D., PC as active?
Yes — SUTINDERPAL JUDGE M.D., PC is active in the NPI listing used on this page.
What is SUTINDERPAL JUDGE M.D., PC's primary classification?
Allergy & Immunology Physician is the headline specialty for SUTINDERPAL JUDGE M.D., PC here. Clinical services aligned with this taxonomy classification.
Does SUTINDERPAL JUDGE M.D., PC list a practice location?
Patients near Saint Joseph, Michigan may find SUTINDERPAL JUDGE M.D., PC in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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