Suman Kant Setia, M.D.
Adult Medicine Physician · Evergreen Park, IL
Suman Kant Setia, M.D. is an adult medicine physician with a practice address in Evergreen Park, Illinois, and NPI 1871560169, issued on Mar 5, 2006. Check the license (Illinois 036091885, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Suman Kant Setia
- Credential
- M.D.
- Primary taxonomy
- Adult Medicine Physician 207QA0505X
- License number
- 036091885 IL
Self-reported in NPPES; status is on the state search - Practice location
- 3900 W 95TH St, Evergreen Park, IL 60805
- Phone
- (708) 423-3242
- Enumerated
- Mar 5, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (708) 423-2856
- Medicare enrollment
- Enrolled (PECOS I20040719001018); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest adult medicine physician records → All 72 in Illinois → Look up another NPI →
Also registered at 3900 W 95TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Suman Kant Setia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036091885Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.8 times the Medicare Part D claims of the average adult medicine physician in 2024
8,366 Medicare Part D claims for 397 beneficiaries, against an average of 3,002 among the 1,307 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 204 claims were for opioids.
Most prescribed
- Atorvastatin Calcium513 claims
- Amlodipine Besylate422 claims
- Lisinopril281 claims
- Gabapentin241 claims
- Losartan Potassium222 claims
- Pantoprazole Sodium219 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 11.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Suman Kant Setia among 72 adult medicine physician records in Illinois
Suman Kant Setia, M.D. is one of 72 adult medicine physician records with a practice address in Illinois. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 53% newer
- In a Medicare fileYes · 56% of these records are
- In the CMS Doctors and Clinicians fileYes · 42% of these records are
- Graduated1980 · median 2004 among the 30 with a school on file
- Record last updated2007 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QA0505X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Medicine Physician providers in Illinois
There are 72 adult medicine physician records in Illinois.
All 72 in Illinois → Every provider in Evergreen Park → Adult Medicine Physician nationwide →
The 8 adult medicine physician records with the nearest ZIP codes
- Michael McGrail, M.D.Evergreen Park, IL 608051831341908
- Paul Pierron, D.O.Lincolnwood, IL 607121891735114
- Rambha Radhakrishnan, M.D.Chicago, IL 606591457767774
- Leigh Roberts, M.D.Chicago, IL 606571497762934
- Mariya Dmytriv-Kapeniak, M.D.Chicago, IL 606471386860997
- Amaury Michel, MDChicago, IL 606471477203057
- Santina Wheat, M.D.Chicago, IL 606471821319799
- Carol Hayes-Sharpley, M.D.Chicago, IL 606431225084585
Common questions
What is Suman Kant Setia, M.D.'s NPI number?
Suman Kant Setia, M.D.'s National Provider Identifier (NPI) is 1871560169, issued on Mar 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Suman Kant Setia, M.D. located?
The NPPES record lists a practice address at 3900 W 95TH St, Evergreen Park, IL, 60805. Phone: (708) 423-3242. Providers update this record themselves, so call before visiting.
How can I verify Suman Kant Setia, M.D.'s license?
NPPES lists Illinois license number 036091885, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Suman Kant Setia, M.D. prescribe under Medicare Part D?
In 2024, Suman Kant Setia, M.D. had 8,366 Medicare Part D claims for 397 beneficiaries; the average among adult medicine physician prescribers was 3,002. Part D covers Medicare prescriptions only.
What is Suman Kant Setia, M.D.'s MIPS final score?
The 2023 MIPS final score is 11.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.