Suparna Dutta, MD - Medicare Internal Medicine in Chicago, IL

Suparna Dutta, MD is a medicare enrolled "Internal Medicine" physician in Chicago, Illinois. She went to State University Of New York At Buffalo School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Hartford Hospital and her current practice location is 1700 W Van Buren St, Suite 500, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-4200.

Suparna Dutta is licensed to practice in Illinois (license number 036-132645) 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 1003069535.

Contact Information

Suparna Dutta, MD
1700 W Van Buren St, Suite 500,
Chicago, IL 60612-5500
(312) 942-4200
(312) 942-3568



Physician's Profile

Full NameSuparna Dutta
GenderFemale
SpecialityInternal Medicine
Experience20 Years
Location1700 W Van Buren St, Chicago, 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:
  • Suparna Dutta attended and graduated from State University Of New York At Buffalo School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1003069535
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 05/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496815904
  • Enrollment ID: I20081113000421

Medical Identifiers

Medical identifiers for Suparna Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003069535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 238252 (Massachusetts)Secondary
207R00000XInternal Medicine ME110370 (Florida)Secondary
207R00000XInternal Medicine 036-132645 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford HospitalHartford, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Hospital2567366016827

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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. Suparna Dutta allows following entities to bill medicare on her behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700

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Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752

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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. Suparna Dutta 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
Suparna Dutta, MD
1700 W Van Buren St, Suite 500,
Chicago, IL 60612-5500

Ph: (312) 942-4200
Suparna Dutta, MD
1700 W Van Buren St, Suite 500,
Chicago, IL 60612-5500

Ph: (312) 942-4200

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Internal Medicine Doctors in Chicago, IL

Dr. Sorin C Danciu, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3134 N Clark St, Chicago, IL 60657
Phone: 773-880-9722    
Anoopa A. Koshy, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611
Phone: 312-926-6000    
William Edmond Gerardi, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613
Phone: 773-244-3060    
Alexandra Dumitrescu,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5841 S Maryland Ave, Chicago, IL 60637
Phone: 888-824-0200    
Dr. Mitesh Mahesh Kabadi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612
Phone: 312-942-5020    
Dr. Marta Batus, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612
Phone: 312-563-2487    Fax: 312-942-3192

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