NPIMap

Individual provider Active NPI

Sunita Dervesh Koul

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1003127895
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36.132608 Issued in IL
Practice address
1879 Bay Scott Cir Ste 111
Naperville, IL 60540-1109
Phone
(630) 961-1341
Fax
(630) 961-1782
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036132608 IL
Internal Medicine Physician 207R00000X 36.132608 IL Primary

Addresses

Primary practice location

1879 Bay Scott Cir Ste 111
Naperville, IL 60540-1109

Mailing address

1879 Bay Scott Cir Ste 111
Naperville, IL 60540-1109
Phone (515) 991-7370

Other practice location 1

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 759-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131121000684 IL Practitioner - HospitalistPractitioner - Internal Medicine 1456587427 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1879 Bay Scott Cir
Naperville, IL 60540-1109
Phone (630) 961-1341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
58.48
Improvement activities
40
Cost
68.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36.132608ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natarajan Medical Group of Illinois, PC CurrentSince Dec 10, 2022 Accepting new patients
Naperville Family Clinic SC Internal Medicine CurrentSince Jun 29, 2021 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

15 Salt Creek Ln
Ste 111
Hinsdale, IL 60521
Phone 6303710133 ext. 102

1879 Bay Scott Cir
Ste 111
Naperville, IL 60540
Phone (630) 961-1341

1831 Bay Scott Cir
Ste 109
Naperville, IL 60540
Phone (630) 961-1341

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Networks

  • IL PPO Downstate
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avantara AuroraAurora, IL, CCN 145944 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1003127895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 BAY SCOTT CIR STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401109",
            "telephone_number": "515-991-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 BAY SCOTT CIR STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401109",
            "telephone_number": "630-961-1341",
            "fax_number": "630-961-1782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "815-759-4323",
            "fax_number": "815-759-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUL",
        "first_name": "SUNITA",
        "middle_name": "DERVESH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036132608",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36.132608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.