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SHEENA ALEENA EETTICKAL D.O
NPI 1356790653
Family Medicine in Carol Stream, IL

Active since June 07, 2016PECOS Enrolled
200 N GARY AVE, CAROL STREAM, IL 60188(630) 360-2958(630) 360-2959 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2024, Oct 10, 2023, Mar 8, 2021 and 1 more (4 updates tracked since 2019).

About Sheena Aleena Eettickal D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEENA ALEENA EETTICKAL D.O (NPI 1356790653) is an individual family medicine provider in Carol Stream, Illinois, licensed in Illinois (036147804) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1356790653
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEENA ALEENA EETTICKALCredential: D.O
Location Address200 N GARY AVECarol Stream, IL 60188-1834
Mailing Address200 N Gary AveCarol Stream, IL 60188-1834 · (630) 360-2958 · Fax (630) 360-2959
Phone(630) 360-2958
Fax(630) 360-2959
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1356790653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036147804
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 N GARY AVE, Carol Stream, IL 60188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheena Aleena Eettickal D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991079972
PECOS Enrollment IDI20190808000002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sheena Eettickal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suburban Medical Group Corp
Same address
Urgent Care
200 N GARY AVE
Carol Stream, IL 60188
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1134824410 (630) 326-8766

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUBURBAN MEDICAL GROUP CORP
Clinic/Center (Urgent Care)
200 N GARY AVE
CAROL STREAM, IL 60188
Dupage County (630) 326-8766
INSIGHT CHICAGO, INC.
Clinic/Center
200 N GARY AVE
CAROL STREAM, IL 60188
Dupage County (312) 567-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheena Eettickal's NPI number?

The NPI number for Sheena Eettickal is 1356790653. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Sheena Eettickal located?

Sheena Eettickal practices at 200 N Gary Ave, Carol Stream, IL 60188. The listed phone number is (630) 360-2958.

What is Sheena Eettickal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheena Eettickal enrolled in Medicare?

Yes. Sheena Eettickal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheena Eettickal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Eettickal reassigns Medicare benefits to Suburban Medical Group Corp (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheena Eettickal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheena Eettickal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sheena Eettickal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheena Eettickal was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.