SUSHMITA NALLAMOTHU PRATHIPATI M.D.
NPI 1740581776
Family Medicine in Rochelle, IL
About Sushmita Nallamothu Prathipati M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSHMITA NALLAMOTHU PRATHIPATI M.D. (NPI 1740581776) is an individual family medicine provider in Rochelle, Illinois, licensed in Illinois (125058229) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sushmita Nallamothu Prathipati M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sushmita Prathipati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marseilles, IL 61341
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Sushmita Prathipati's NPI number?
The NPI number for Sushmita Prathipati is 1740581776. It was assigned to this individual provider in the NPPES registry on November 8, 2010.
Where is Sushmita Prathipati located?
Sushmita Prathipati practices at 510 Lincoln Hwy, Rochelle, IL 61068. The listed phone number is (815) 561-8335.
What is Sushmita Prathipati's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sushmita Prathipati enrolled in Medicare?
Yes. Sushmita Prathipati is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sushmita Prathipati's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushmita Prathipati reassigns Medicare benefits to 3 organizations: Ottawa Regional Hospital & Healthcare Center (Marseilles, IL), Rockford Health Physicians (Rockford, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Sushmita Prathipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sushmita Prathipati affiliated with any hospitals?
According to CMS data, Sushmita Prathipati is affiliated with Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.
When was this NPI record last updated?
The NPPES record for Sushmita Prathipati was last updated on September 10, 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.