Individual provider Active NPI

Sindhu Kurup, MD

  • Internal Medicine Physician
  • Long Grove, IL
National Provider Identifier
1083910483
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036129130 Issued in IL
Practice address
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone
(847) 719-2220
Fax
(847) 719-2265
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 036129130 IL
Internal Medicine Physician 207R00000X 036129130 IL Primary

Addresses

Primary practice location

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292

Mailing address

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220

Other practice location 1

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-1157

Other identifiers 1

IdentifierTypeStateIssuer
036129130MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIRDSTU2/
Direct Messaging Address skurup317950@direct.myadvocateaurora.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000038 IL Practitioner - Internal MedicinePractitioner - Hospitalist 8325207509 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5095

450 W Hwy 22
Barrington, IL 60010-1919
Phone (847) 381-9600

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036129130ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Illinois - Rockford, LLC Internal Medicine CurrentSince Nov 7, 2018 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 20, 2017 Accepting new patients
Best Practices Inpatient Care, LTD. Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Best Practices Inpatient Care,LTD Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Southside Primary Care Group SC Internal Medicine PastSince Feb 11, 2024 Accepting new patients
Rajiv Kandala M D S C PastSince Jun 27, 2021 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

9532 Eagle Way
Chicago, IL 60678

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

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1155
Evanston, IL 60201
Phone (847) 570-1070

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

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

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

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

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • Direct secure messaging: skurup317950@direct.myadvocateaurora.org

Organizations & group practices 9

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 5

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083910483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213810",
            "country_code": "US",
            "telephone_number": "217-464-1157",
            "fax_number": "217-464-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURUP",
        "first_name": "SINDHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036129130",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036129130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036129130",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIRDSTU2/",
            "affiliation": "N",
            "address_1": "3880 Salem Lake Dr Ste F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skurup317950@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3880 Salem Lake Dr Ste F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

Verify at the official NPI Registry.