NPIMap

Individual provider Active NPI

Bhanu Prasad Sankineni, M.D.

  • Hospitalist Physician
  • McHenry, IL
National Provider Identifier
1063675619
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036129148 Issued in IL
Practice address
4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone
(615) 338-6600
NPI assigned
Jul 3, 2008
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036129148 IL
Internal Medicine Physician 207R00000X 64184-20 WI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 64184-20 WI
Hospitalist Physician 208M00000X 036129148 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436

Mailing address

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone (815) 338-6600

Other practice location 1

37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone (702) 453-3799

Other practice location 2

3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000

Other identifiers 1

IdentifierTypeStateIssuer
1063675619MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120510000566 IL Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pediatric Medicine 5799947669 Reassigns benefits to 3 organizations
I20151204000391 WI Practitioner - Internal Medicine 5799947669 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Lafayette CountyGroup PAC ID 9436054772, 27 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians
Wil Hospitalists LLCGroup PAC ID 7214213131, 7 clinicians
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-3441

211 Bev Anderson Dr
Darlington, WI 53530-8801
Phone (608) 776-4466

3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000

5535 Nobel Dr
Fitchburg, WI 53711-4955
Phone (608) 398-1000

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036129148ILMDInternal Medicine Physician
64184-20WIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Mar 9, 2019 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Mar 18, 2017 Accepting new patients
Dean Health Systems, Inc Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Lafayette County CurrentSince Oct 1, 2022 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Sep 23, 2019 Accepting new patients
Infinite Medical PC CurrentSince Jun 1, 2025 Accepting new patients
Dean Health Systems, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Lafayette County CurrentSince Oct 1, 2022 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince Dec 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Illinois - Rockford, LLC Internal Medicine CurrentSince Oct 8, 2018 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc CurrentSince Dec 1, 2022 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Sep 23, 2019 Accepting new patients
Edgerton Hospital and Health Services, Inc. Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

250 Skillman St
Ste 202
Brooklyn, NY 11205

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

430 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-5533

3200 E Racine St
Janesville, WI 53546
Phone (608) 371-8000

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: bsankineni909526@direct.unitypoint.org

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
Edgerton Hospital and Health Services, IncEdgerton, WI, CCN 521319 Hospital Corporate Director Feb 1, 2019

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1063675619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "815-338-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "615-338-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37868 US Highway 18",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Chien",
            "state": "WI",
            "postal_code": "538218416",
            "country_code": "US",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 E Racine St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535462343",
            "country_code": "US",
            "telephone_number": "608-371-8000",
            "fax_number": "608-371-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANKINENI",
        "first_name": "BHANU PRASAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036129148",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64184-20",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "64184-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036129148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063675619",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.