Rishi N Sud, Md Pc - Medicare Primary Care in Shiloh, IL

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Rishi N Sud, Md Pc is a medicare enrolled primary clinic (Internal Medicine) in Shiloh, Illinois. The current practice location for Rishi N Sud, Md Pc is 1167 Fortune Blvd, Shiloh, Illinois. For appointments, you can reach them via phone at (618) 207-6900. The mailing address for Rishi N Sud, Md Pc is Po Box 419059, Saint Louis, Missouri and phone number is (314) 851-1000.

Rishi N Sud, Md Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780314781. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 207-6900.

Contact Information

Rishi N Sud, Md Pc
1167 Fortune Blvd
Shiloh
IL 62269-7377
(618) 207-6900
(618) 207-6901

Map and Direction


Primary Care Clinic Profile

Full NameRishi N Sud, Md Pc
SpecialityInternal Medicine
Location1167 Fortune Blvd, Shiloh, Illinois
Authorized Official Name and PositionJaime Bremerkamp (SECRETARY)
Authorized Official Contact3148511000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rishi N Sud, Md Pc
Po Box 419059
Saint Louis
MO 63141-9059

Ph: (314) 851-1000		Rishi N Sud, Md Pc
1167 Fortune Blvd
Shiloh
IL 62269-7377

Ph: (618) 207-6900

NPI Details:

NPI Number1780314781
Provider Enumeration Date06/13/2022
Last Update Date08/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7618350448
Medicare Enrollment IDO20220811002211

Medical Identifiers

Medical identifiers for Rishi N Sud, Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780314781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
133V00000XDietitian, Registered (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rishi N Sud, Md Pc acts as a billing entity for following providers:
Provider NameLaura A Crandall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477767101
PECOS PAC ID: 3577655869
Enrollment ID: I20120820001130
Provider NameGaylin R Manion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023497591
PECOS PAC ID: 7810201027
Enrollment ID: I20150731016691
Provider NameJohn T English
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912347790
PECOS PAC ID: 9830491661
Enrollment ID: I20160727002780
Provider NameKayla J Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861902025
PECOS PAC ID: 2163789215
Enrollment ID: I20171128003540
Provider NameVictoria L Jansen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932191863
PECOS PAC ID: 9537235577
Enrollment ID: I20171130001516
Provider NamePatrick Nakashima-moran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558743138
PECOS PAC ID: 1153628078
Enrollment ID: I20180731001899
Provider NameCarla Moore Beckerle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457458234
PECOS PAC ID: 6608898101
Enrollment ID: I20190319001340
Provider NameKristy Thomas
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1356872089
PECOS PAC ID: 7113202532
Enrollment ID: I20191210001538

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.