Suman Gopal, MD - Medicare Internal Medicine in Sterling, IL

Suman Gopal, MD is a medicare enrolled "Internal Medicine" physician in Sterling, Illinois. Her current practice location is 101 E Miller Rd, Sterling, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 625-4790.

Suman Gopal is licensed to practice in Illinois (license number 036067792) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174612238.

Contact Information

Suman Gopal, MD
101 E Miller Rd,
Sterling, IL 61081-1252
(815) 625-4790
Not Available

Map and Direction




Physician's Profile

Full NameSuman Gopal
GenderFemale
SpecialityInternal Medicine
Location101 E Miller Rd, Sterling, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174612238
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 06/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5597870345
  • Enrollment ID: I20101015001274

Medical Identifiers

Medical identifiers for Suman Gopal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174612238NPI-NPPES
110059307OtherRAILROAD MEDICARE
036067792MedicaidIL
011549OtherILHEALTH ALLIANCE MEDICAL
9815737OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036067792 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suman Gopal allows following entities to bill medicare on her behalf.
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suman Gopal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suman Gopal, MD
101 E Miller Rd,
Sterling, IL 61081-1252

Ph: (815) 625-4790
Suman Gopal, MD
101 E Miller Rd,
Sterling, IL 61081-1252

Ph: (815) 625-4790

Reviews and Comments


Internal Medicine Doctors in Sterling, IL

Hussein Zaioor, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    Fax: 815-632-5803
Kim Treviranus,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    
Mir A Alikhan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    
Rajan Gopal, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    
Alhareth Alsayed, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    
Ajay Kumar Varma Buddaraju, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Miller Rd, Sterling, IL 61081
Phone: 815-625-4790    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.