MRS. SUBY ABY PANICHIKUDIYIL NP
NPI 1790158186
Nurse Practitioner - Family in Oak Brook, IL

Q: What is Suby Panichikudiyil's NPI number?

The NPI number for Suby Panichikudiyil is 1790158186. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Q: What is Suby Panichikudiyil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 06, 2015PECOS EnrolledAccepts Medicare Assignment

2100 CLEARWATER DR STE 100, OAK BROOK, IL 60523(630) 607-1000(630) 607-1002 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Apr 2, 2025, Jan 16, 2018 and 2 more (5 updates tracked since 2015).

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About Mrs. Suby Aby Panichikudiyil Np NPPES

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

MRS. SUBY ABY PANICHIKUDIYIL NP (NPI 1790158186) is an individual family provider in Oak Brook, Illinois, licensed in Illinois (209028978) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790158186

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SUBY ABY PANICHIKUDIYILCredential: NP

Location Address2100 CLEARWATER DR STE 100Oak Brook, IL 60523-1931

Mailing Address4131 W Loomis Rd, Suite 300Greenfield, WI 53221-2057 · (414) 325-7246 · Fax (414) 325-3770

Phone(630) 607-1000

Fax(630) 607-1002

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 6, 2015

Last NPPES UpdateApril 10, 20255 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1790158186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209028978

2100 CLEARWATER DR STE 100, Oak Brook, IL 60523

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Secondary Practice Locations 2

Location 110719 160th StOrland Park, IL 60467-5541 · Phone (630) 607-1000 · Fax (630) 607-1002

Location 25851 W 95th StOak Lawn, IL 60453-2394 · Phone (630) 607-1000 · Fax (630) 607-1002

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

Mrs. Suby Aby Panichikudiyil Np 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 ID4981905411

PECOS Enrollment IDI20240425000918

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60523 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 9

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

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