Sushma Nagabhairava, MD - Medicare Family Practice in Lemont, IL

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Sushma Nagabhairava, MD is a medicare enrolled "Family Medicine" physician in Lemont, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Health Service Systems, Inc and her current practice location is 15505 E 127th St Ste 100, Lemont, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 257-5400.

Sushma Nagabhairava is licensed to practice in Illinois (license number 036-134615) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710265822.

Contact Information

Sushma Nagabhairava, MD
15505 E 127th St Ste 100,
Lemont, IL 60439-4433
(630) 257-5400
Not Available

Map and Direction




Physician's Profile

Full NameSushma Nagabhairava
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location15505 E 127th St Ste 100, Lemont, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sushma Nagabhairava graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1710265822
  • Provider Enumeration Date: 07/25/2011
  • Last Update Date: 03/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1456591908
  • Enrollment ID: I20150724012340

Medical Identifiers

Medical identifiers for Sushma Nagabhairava such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710265822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-134615 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elara Caring IiiPalos heights, ILHome health agency
Silver Cross Home HealthNew lenox, ILHome health agency
Silver Cross Hospital And Medical CentersNew lenox, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health Service Systems, Inc226440869935

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. Sushma Nagabhairava allows following entities to bill medicare on her behalf.
Entity NameHealth Service Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851323257
PECOS PAC ID: 2264408699
Enrollment ID: O20040908000350
Entity NameSanjay Pethkar, M.d., S. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588873293
PECOS PAC ID: 9830282565
Enrollment ID: O20070911000423
Entity NameCommunity Health Partnership Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932375169
PECOS PAC ID: 6901053511
Enrollment ID: O20130723000458

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. Sushma Nagabhairava 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
Sushma Nagabhairava, MD
15505 E 127th St Ste 100,
Lemont, IL 60439-4433

Ph: (630) 257-5400		Sushma Nagabhairava, MD
15505 E 127th St Ste 100,
Lemont, IL 60439-4433

Ph: (630) 257-5400

Reviews and Comments


Family Medicine Doctors in Lemont, IL

Lubomyra M Kazaniwskyj, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15505 E 127th St Ste 100, Lemont, IL 60439
Phone: 630-257-5400    
Mrs. Ashley Elizabeth Miniet, APRN-FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15505 E 127th St Ste 150, Lemont, IL 60439
Phone: 630-243-8888    
Dr. Andrew L Kazaniwskyj, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15505 E 127th St Ste 100, Lemont, IL 60439
Phone: 630-257-5400    
Mohammed Akbar Yousuf, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Village Dr, Lemont, IL 60439
Phone: 630-686-9000    Fax: 844-235-2578

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.