Yogesh G Sutrave, RSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238.000299 Issued in IL

Practice address

6743 S Pointe Dr Unit 3C
Tinley Park, IL 60477-6291

Phone

(920) 378-9266

NPI assigned

Oct 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sky Surgical

  • Surgical Physician Assistant
  • Tinley Park, IL
  • NPI 1215692173
  NPD Authorized official
• Sky Surgical

  • Surgical Assistant
  • Tinley Park, IL
  • NPI 1336804350
  NPD Authorized official

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831474279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 S POINTE DR UNIT 3C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776291",
            "telephone_number": "920-378-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 S POINTE DR UNIT 3C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776291",
            "telephone_number": "920-378-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTRAVE",
        "first_name": "YOGESH",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000299",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000299",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238.000299",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Medical Center S. C.
• Supercare LLC
• Supreme Physical Therapy Co.
• Surgical Care Associates LTD
• Nicolette Paige Susralski, MA
• Terese Sweeney, RDN, LDN, CEDS-C
• Sweet Dreams Infant Care
• Dawn B Swenson, DDS
• Sandy Sybert, LCPC
• Joshua Syce, RBT

• Surgical Physician Assistant in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.