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JOHAN D SUGUITAN RD, LDN
NPI 1720701071
Dietitian, Registered in Chicago, IL

Active since September 21, 2022
5025 N PAULINA ST, CHICAGO, IL 60640(773) 271-9040 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johan D Suguitan Rd, Ldn NPPES

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

JOHAN D SUGUITAN RD, LDN (NPI 1720701071) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164.004251) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1720701071
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJOHAN D SUGUITANCredential: RD, LDN
Location Address5025 N PAULINA STChicago, IL 60640-2772
Mailing Address8443 Drake AveSkokie, IL 60076-2817 · (773) 396-9563
Phone(773) 271-9040
Sole ProprietorYes
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1720701071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.004251
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5025 N PAULINA ST, Chicago, IL 60640
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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)

Johan D Suguitan Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Thorek Memorial Hospital
1.6 mi
General Acute Care Hospital
850 W IRVING PARK RD
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1982643961 (773) 525-6780

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

Other Providers at the Same Location NPPES 20

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

JESSICA WUNDER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 271-9040
DR. AILYN U TAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 989-1422
MR. JOHN LOUIS MARINI P.A.
Physician Assistant
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 271-9040
P.D. ANESTHESIA, P.C.
Pain Medicine (Interventional Pain Medicine)
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 271-9040
LAKESIDE RADIOLOGISTS, SC
Radiology (Diagnostic Radiology)
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 271-9040
HANA L KEIL-VINTILA MSW, LSW
Social Worker (Clinical)
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 989-1445
REET WANGERIN CRNA
Anesthesiology
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (847) 615-2200
DR. ROMAN F NIZIOLEK M.D.
Internal Medicine
5025 N PAULINA ST
CHICAGO, IL 60640
Cook County (773) 271-9040

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 Johan Suguitan's NPI number?

The NPI number for Johan Suguitan is 1720701071. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Johan Suguitan located?

Johan Suguitan practices at 5025 N Paulina St, Chicago, IL 60640. The listed phone number is (773) 271-9040.

What is Johan Suguitan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Johan Suguitan enrolled in Medicare?

Yes. Johan Suguitan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johan Suguitan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johan Suguitan reassigns Medicare benefits to Thorek Memorial Hospital (Chicago, 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 Johan Suguitan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johan Suguitan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Johan Suguitan 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 Johan Suguitan was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.