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Suchitraa Bandaru, PA-C

NPI 1639077662ActiveIndividual· Physician Assistant· Newburgh, IN

Physician Assistant (PA-C) in Newburgh, Indiana, licensed in IN, with an NPI issued in October 2026.

Overview

NPI1639077662
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 29, 2026
Last updated in NPPESOct 29, 2026
Certified by providerOct 29, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X10005550AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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