Individual provider Active NPI

Suman Kant Setia, M.D.

  • Adult Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1871560169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036091885 Issued in IL
Practice address
3900 W 95TH St
#3
Evergreen Park, IL 60805-1922
Phone
(708) 423-3242
Fax
(708) 423-2856
NPI assigned
Mar 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 036091885 IL Primary

Addresses

Primary practice location

3900 W 95TH St
#3
Evergreen Park, IL 60805-1922

Mailing address

8940 Golden Oak CT
Hickory Hills, IL 60457-3202
Phone (708) 237-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001018 IL Practitioner - Internal Medicine 5991784209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3360 W 95TH St
Evergeen Park, IL 60805-2236
Phone (708) 423-3242

Hospital & facility affiliations

  • Illinois Health Care Services, LLC Home health agency, Skokie, IL, CCN 148179
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

Merit-based Incentive Payment System (MIPS)

Final score
21.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036091885ILMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Med Care Center SC CurrentSince Mar 1, 2004 Accepting new patients

Locations

3360 W 95th St
Evergreen Pk, IL 60805
Phone (708) 423-3242

Interoperability endpoints

  • Direct secure messaging: ssetia276232@direct.myadvocateaurora.org

Organizations & group practices 1

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 7

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": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871560169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 GOLDEN OAK CT",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573202",
            "telephone_number": "708-237-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST",
            "address_2": "#3",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051922",
            "telephone_number": "708-423-3242",
            "fax_number": "708-423-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETIA",
        "first_name": "SUMAN",
        "middle_name": "KANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036091885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.