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SUMIA DUTIA APNP
NPI 1881380137
Nurse Practitioner in Oak Park, IL

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
1125 SOUTH BLVD, OAK PARK, IL 60302(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2025, May 2, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Sumia Dutia Apnp NPPES

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

SUMIA DUTIA APNP (NPI 1881380137) is an individual nurse practitioner in Oak Park, Illinois, licensed in Illinois (209.026996) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881380137
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUMIA DUTIACredential: APNP
Location Address1125 SOUTH BLVDOak Park, IL 60302-2812
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838
Phone(888) 938-3838
Fax(888) 919-1083
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 11, 2023
Last NPPES UpdateMarch 7, 20253 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1881380137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.026996
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1125 SOUTH BLVD, Oak Park, IL 60302
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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

Sumia Dutia Apnp 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 ID7810353083
PECOS Enrollment IDI20230512001030
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 Sumia Dutia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sigma Health PC
21 mi
Neurology
10640 W 165TH STREET
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1720035843 (708) 364-0261

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 60302 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 3

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

ALEC M WEISS PA-C
Physician Assistant
1125 SOUTH BLVD
OAK PARK, IL 60302
Cook County (888) 938-3838
WAVERLY ELYSSE DEL VALLE PA-C
Physician Assistant
1125 SOUTH BLVD
OAK PARK, IL 60302
Cook County (888) 938-3838
DEANNA AUBRY APNP
Nurse Practitioner
1125 SOUTH BLVD
OAK PARK, IL 60302
Cook County (888) 938-3838

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 Sumia Dutia's NPI number?

The NPI number for Sumia Dutia is 1881380137. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Sumia Dutia located?

Sumia Dutia practices at 1125 South Blvd, Oak Park, IL 60302. The listed phone number is (888) 938-3838.

What is Sumia Dutia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sumia Dutia enrolled in Medicare?

Yes. Sumia Dutia 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 organization bills Medicare for Sumia Dutia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumia Dutia reassigns Medicare benefits to Sigma Health PC (Orland Park, 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 Sumia Dutia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sumia Dutia was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.