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SUSHMITA NALLAMOTHU PRATHIPATI M.D.
NPI 1740581776
Family Medicine in Rochelle, IL

Active since November 08, 2010PECOS EnrolledAccepts Medicare Assignment
510 LINCOLN HWY, ROCHELLE, IL 61068(815) 561-8335 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1740581776
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSHMITA NALLAMOTHU PRATHIPATICredential: M.D.
Location Address510 LINCOLN HWYRochelle, IL 61068-2613
Mailing Address510 Lincoln HwyRochelle, IL 61068-2613 · (815) 561-8335
Phone(815) 561-8335
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 8, 2010
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1740581776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125058229
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.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036132132 (IL)
510 LINCOLN HWY, Rochelle, IL 61068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7113153537
PECOS Enrollment IDI20131113000919
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.

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, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims52 services$6.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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 22 months 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.