Individual provider Active NPI

Sujithra Reprakash, PA-C

  • Physician Assistant
  • Calumet City, IL
National Provider Identifier
1699330811
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006364RX Issued in OH
Practice address
364 Torrence Ave
Calumet City, IL 60409-1902
Phone
(773) 233-4100
Fax
(708) 868-6910
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006364RX OH Primary
Medical Physician Assistant 363AM0700X 085006949 IL

Addresses

Primary practice location

364 Torrence Ave
Calumet City, IL 60409-1902

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731002024 OH Practitioner - Physician Assistant 9032534409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

101 Commerce Park Dr
Westerville, OH 43082-8349
Phone (614) 898-3006

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8074
Phone (614) 865-4800

3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3984
Phone (614) 268-8164

393 E Town St
Columbus, OH 43215-4799

400 Altair Pkwy
Westerville, OH 43082-7653

400 Altair Pkwy
Westerville, OH 43082-7654

444 N Cleveland Ave
Suite 200
Westerville, OH 43082-8389
Phone (614) 899-2700

450 Alkyre Run
Suite 380
Westerville, OH 43082-6076
Phone (614) 899-9188

460 Polaris Pkwy
Suite 100
Westerville, OH 43082-6090
Phone (614) 895-3344

460 Polaris Pkwy
Suite 150
Westerville, OH 43082-6092
Phone (614) 259-0906

460 Polaris Pkwy
Suite 200
Westerville, OH 43082-8213
Phone (614) 865-3125

465 N Cleveland Ave
Suite 200
Westerville, OH 43082-8642
Phone (614) 876-7330

4825 Knightsbridge Blvd
Columbus, OH 43214-4325
Phone (614) 451-9612

4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300
Phone (614) 451-2174

4845 Knightsbridge Blvd
Suite 210
Columbus, OH 43214-2466
Phone (614) 273-0480

4845 Knightsbridge Blvd
Suite 220
Columbus, OH 43214-2463
Phone (614) 299-5838

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1953

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1184

4895 Olentangy River Rd
Columbus, OH 43214-1185

540 N Cleveland Ave
Suite 200
Westerville, OH 43082-9845
Phone (614) 891-9505

540 N Cleveland Ave
Suite 250
Westerville, OH 43082-9846
Phone (614) 891-4705

60 Clairedan Dr
Powell, OH 43065-7340
Phone (614) 533-6850

625 Africa Rd
Westerville, OH 43082-0002

Hospital & facility affiliations

  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085006949ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 1, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physician Assistant CurrentSince Feb 1, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2025 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 1, 2021 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: sreprakash19297@copcp.medicity.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1699330811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091902",
            "telephone_number": "773-233-4100",
            "fax_number": "708-868-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPRAKASH",
        "first_name": "SUJITHRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006364RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085006949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.