Suman Setia, M.D.
NPI 1871560169 · Adult Medicine Physician · Evergreen Park, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suman Setia, M.D. is a Adult Medicine Physician provider in Evergreen Park, IL (NPI 1871560169).
Provider details
- NPI number
- 1871560169
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036091885 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,192 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 454 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 286 | $123 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 109 | $125 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 92 | $55 |
| Advance Care Planning, First 30 Minutes99497 | 76 | $79 |
| Physician Or Allowed Practitioner Supervision of a Patient Receiving Medicare-Covered Services Provided By a Participating Home Health Agency (patient Not Present) Requiring Complex and Multidisciplinary Care Modalities Involving Regular Physician Or Allow |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 133 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 513 | 156 |
| Amlodipine Besylate | 422 | 129 |
| Lisinopril | 281 | 81 |
| Gabapentin | 241 | 60 |
| Losartan Potassium | 222 | 65 |
| Pantoprazole Sodium | 219 | 78 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Suman Setia's NPI number?
- Suman Setia's National Provider Identifier (NPI) is 1871560169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suman Setia's specialty?
- Suman Setia is listed in the NPPES registry with a primary specialty of Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Suman Setia located?
- Suman Setia's practice location on file with NPPES is 3900 W 95th St, Evergreen Park, IL 60805-1922.
- What is Suman Setia's phone number?
- The practice phone number listed in the NPPES registry for Suman Setia is (708) 423-3242.
- Does Suman Setia accept Medicare?
- Suman Setia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suman Setia's NPI active?
- Yes — Suman Setia's NPI (1871560169) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.