Active NPI 1528279577 Individual Practitioner Female Practitioner

Dr. Sumitha V Panicker , MD

Internal Medicine • Bolingbrook, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sumitha Panicker, MD is a certified Internal Medicine practicing in Bolingbrook, IL. With approximately 22 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2004, Dr. Panicker delivers high-quality medical care to the local community at 235 REMINGTON BLVD.

Dr. Panicker accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, management and supervision of oxygen chamber therapy per session, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

235 Remington Blvd
Ste K

Bolingbrook, IL 604405826

Telephone 6309145153

Fax 6309145157

Associated Practice Facility / Clinic

🏢 Pro-Health Physical Rehabilitation Services P C Facility NPI 1063469906

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bolingbrook, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -1.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

21 Specialists

Practicing in Bolingbrook, IL (7544 Statewide)

Telehealth Adoption Rate

47.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Panicker (22 Years) 22 Yrs

Bolingbrook Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	92	$251.36	$100.45
99183 Management and supervision of oxygen chamber therapy per session	141	14	$205.69	$110.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	119	35	$50.00	$17.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	45	$346.16	$148.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$343.10	$137.97
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	40	15	$244.94	$88.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	17	$230.68	$117.39
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$172.93	$68.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	25	$243.97	$128.96
11042 Removal of skin and tissue, 20.0 sq cm or less	35	24	$255.70	$63.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$429.61	$189.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$325.00	$179.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	11	$421.25	$173.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$250.00	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	99	$240.00	$97.25
99183 Management and supervision of oxygen chamber therapy per session	159	11	$200.00	$107.61
11042 Removal of skin and tissue, 20.0 sq cm or less	123	59	$250.00	$60.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	48	$240.00	$129.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	48	$325.00	$142.96
99213 Established patient office or other outpatient visit, typically 15 minutes	85	72	$160.00	$65.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	30	$225.00	$118.98
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	79	21	$150.00	$85.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$350.00	$133.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	57	15	$175.00	$106.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$250.00	$129.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	36	$325.00	$180.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	31	$450.00	$173.50
99213 Established patient office or other outpatient visit, typically 15 minutes	34	21	$160.00	$91.06
99239 Hospital discharge day management, more than 30 minutes	30	24	$200.00	$114.94
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	23	15	$200.00	$121.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$400.00	$181.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$85.00	$52.63
G0008 Administration of influenza virus vaccine	12	11	$40.00	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	97	$240.00	$98.43
99183 Management and supervision of oxygen chamber therapy per session	259	17	$200.00	$110.00
99213 Established patient office or other outpatient visit, typically 15 minutes	141	69	$160.00	$67.41
11042 Removal of skin and tissue, 20.0 sq cm or less	130	63	$250.00	$61.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	60	$240.00	$129.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	27	$225.00	$102.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$350.00	$137.01
99213 Established patient office or other outpatient visit, typically 15 minutes	55	38	$160.00	$92.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$250.00	$132.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	37	$325.00	$147.11
99336 Established patient assisted living visit, typically 40 minutes	41	28	$200.00	$128.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	26	$450.00	$198.73
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	33	11	$250.00	$95.42
99239 Hospital discharge day management, more than 30 minutes	29	26	$200.00	$105.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$325.00	$184.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	12	$175.00	$90.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$85.00	$53.95
G0008 Administration of influenza virus vaccine	16	16	$40.00	$31.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$400.00	$186.42
36415 Insertion of needle into vein for collection of blood sample	16	11	$20.00	$2.97
G0009 Administration of pneumococcal vaccine	14	14	$40.00	$31.23
90670 Pneumococcal vaccine for injection into muscle	11	11	$320.00	$251.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	94	$240.00	$101.36
11042 Removal of skin and tissue, 20.0 sq cm or less	181	68	$250.00	$62.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	73	$240.00	$130.23
99213 Established patient office or other outpatient visit, typically 15 minutes	140	71	$160.00	$68.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	78	18	$75.00	$27.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	27	$225.00	$104.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	44	$325.00	$149.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$250.00	$135.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$350.00	$139.16
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$160.00	$93.59
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	42	11	$150.00	$87.90
99239 Hospital discharge day management, more than 30 minutes	29	24	$200.00	$107.49
99336 Established patient assisted living visit, typically 40 minutes	28	25	$200.00	$128.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	23	$450.00	$202.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$85.00	$54.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$400.00	$189.27
G0008 Administration of influenza virus vaccine	19	19	$40.00	$17.98
36415 Insertion of needle into vein for collection of blood sample	18	15	$20.00	$3.00
90662 Influenza vaccine split virus, preservative free	17	17	$100.00	$65.26
97597 Removal of tissue from wound, 20.0 sq cm or less	16	16	$100.00	$36.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$325.00	$186.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	11	$175.00	$91.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	92	$240.00	$79.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	67	$240.00	$109.81
11042 Removal of skin and tissue, 20.0 sq cm or less	154	55	$250.00	$63.61
99183 Management and supervision of oxygen chamber therapy per session	121	14	$200.00	$115.23
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	103	18	$76.46	$28.42
99213 Established patient office or other outpatient visit, typically 15 minutes	82	54	$160.00	$52.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	29	$225.00	$105.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$250.00	$116.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	34	$450.00	$205.10
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	47	17	$150.00	$89.88
99213 Established patient office or other outpatient visit, typically 15 minutes	46	33	$160.00	$76.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$350.00	$128.98
99239 Hospital discharge day management, more than 30 minutes	41	32	$200.00	$108.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	24	$325.00	$113.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$80.00	$41.48
97597 Removal of tissue from wound, 20.0 sq cm or less	24	21	$100.00	$36.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$400.00	$172.25
99336 Established patient assisted living visit, typically 40 minutes	22	12	$200.00	$130.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$85.00	$53.99
G0008 Administration of influenza virus vaccine	19	19	$40.00	$17.75
90662 Influenza vaccine split virus, preservative free	16	16	$100.00	$60.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$325.00	$147.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	92	$240.00	$79.23
11042 Removal of skin and tissue, 20.0 sq cm or less	175	70	$250.00	$63.80
99213 Established patient office or other outpatient visit, typically 15 minutes	163	67	$160.00	$51.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	57	$225.00	$104.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	72	$240.00	$110.24
99183 Management and supervision of oxygen chamber therapy per session	132	12	$221.97	$113.46
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	131	15	$75.00	$27.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	59	$450.00	$204.52
99239 Hospital discharge day management, more than 30 minutes	74	60	$200.00	$108.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	14	$150.00	$73.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$234.48	$117.49
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	54	16	$150.00	$88.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$350.00	$130.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$325.00	$112.12
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$160.00	$73.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	29	$85.00	$53.75
99336 Established patient assisted living visit, typically 40 minutes	34	15	$200.00	$132.94
G0008 Administration of influenza virus vaccine	28	27	$40.00	$16.68
99226 Subsequent observation care, typically 35 minutes per day	26	18	$125.00	$105.15
99306 Initial nursing facility visit, typically 45 minutes per day	24	21	$275.00	$168.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$325.00	$148.42
90662 Influenza vaccine split virus, preservative free	21	21	$100.00	$54.89
97597 Removal of tissue from wound, 20.0 sq cm or less	21	21	$121.43	$24.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	13	$175.00	$93.18
99496 Transitional care management services for problem of high complexity	20	18	$375.00	$234.17
99220 Hospital observation care, typically 70 minutes	16	16	$270.00	$186.74
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$16.74
90670 Pneumococcal vaccine for injection into muscle	11	11	$250.00	$211.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	61	$240.00	$76.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	69	$240.00	$106.69
11042 Removal of skin and tissue, 20.0 sq cm or less	151	56	$250.00	$62.72
99213 Established patient office or other outpatient visit, typically 15 minutes	142	55	$160.00	$50.34
99336 Established patient assisted living visit, typically 40 minutes	123	53	$177.80	$130.83
99335 Established patient assisted living visit, typically 25 minutes	110	50	$175.00	$91.40
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	95	13	$76.32	$26.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	29	$100.00	$70.63
99183 Management and supervision of oxygen chamber therapy per session	81	11	$300.00	$110.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	37	$175.00	$92.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	32	$225.00	$102.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$200.00	$115.44
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	44	14	$150.00	$85.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$225.00	$75.97
99239 Hospital discharge day management, more than 30 minutes	43	36	$200.00	$106.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	36	$450.00	$200.05
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$160.00	$72.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$85.00	$52.93
G0008 Administration of influenza virus vaccine	27	26	$40.00	$21.46
99306 Initial nursing facility visit, typically 45 minutes per day	26	24	$275.00	$163.95
99496 Transitional care management services for problem of high complexity	24	19	$321.88	$230.91
G0009 Administration of pneumococcal vaccine	23	23	$40.00	$21.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$325.00	$108.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	20	$140.00	$130.60
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	19	17	$200.00	$137.39
90670 Pneumococcal vaccine for injection into muscle	17	17	$250.00	$201.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$50.00	$18.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$110.00	$43.48
99326 New patient assisted living visit, typically 45 minutes	13	13	$300.00	$131.64
90653 Vaccine for influenza for injection into muscle	12	12	$100.00	$53.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	130	$240.34	$112.64
99213 Established patient office or other outpatient visit, typically 15 minutes	204	109	$160.00	$76.63
99336 Established patient assisted living visit, typically 40 minutes	194	65	$170.00	$136.61
11042 Removal of skin and tissue, 20.0 sq cm or less	190	60	$250.00	$66.16
99335 Established patient assisted living visit, typically 25 minutes	151	52	$175.00	$95.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	45	$225.00	$109.50
11042 Removal of skin and tissue, 20.0 sq cm or less	133	63	$250.00	$123.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	123	25	$100.00	$72.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$225.00	$114.35
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	76	16	$200.00	$28.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	28	$175.00	$95.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	53	$450.00	$213.08
99239 Hospital discharge day management, more than 30 minutes	66	50	$200.00	$112.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$200.00	$120.98
97597 Removal of tissue from wound, 20.0 sq cm or less	42	28	$150.00	$79.01
99496 Transitional care management services for problem of high complexity	41	34	$258.54	$240.03
36415 Insertion of needle into vein for collection of blood sample	39	28	$20.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	14	$150.00	$75.58
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	26	14	$200.00	$43.79
99326 New patient assisted living visit, typically 45 minutes	18	18	$300.00	$141.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$234.67	$71.34
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	13	12	$350.00	$228.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$85.00	$56.58

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125049037

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Kim Johnson , COTA, L

Occupational Therapy Assistant

NPI 1902154982

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2012

Registered at 235 REMINGTON BLVD, STE K, BOLINGBROOK, IL 604405826 (Tel: 6309145153)

📍

Updated Business Mailing Address January 31, 2012

Registered at 620 N RIVER RD, STE 102, NAPERVILLE, IL 605638950 (Tel: 6303554755)

👤

Provider Name / Credentials Updated January 31, 2012

Recorded as SUMITHA PANICKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2012

Internal Medicine (License #125049037 in IL)

🟢

Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528279577

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2007

Last Update: January 31, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

620 N River Rd, Ste 102

Naperville, IL 605638950

Phone: 6303554755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.