Active NPI
Krishna Sunkara MD SC
- Pulmonary Disease Physician
- Hazel Crest, IL
National Provider Identifier
1194770586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 57322217
- Legal business name
- KRISHNA SUNKARA MD SC
- Practice address
- 17680 Kedzie Ave
Suite 101
Hazel Crest, IL 60429-2043 - Phone
- (708) 799-7990
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krishna Sunkara, MD
- Title
- Owner / Physician
- Phone
- (708) 799-7990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 57322217 | IL | Primary |
Addresses
Primary practice location
17680 Kedzie Ave
Suite 101
Hazel Crest, IL 60429-2043
Mailing address
17680 Kedzie Ave
Suite 101
Hazel Crest, IL 60429-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001627870 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000967 | IL | Part B Supplier - Clinic/Group Practice | 0547257354 |
Receives reassigned benefits from 1 practitioner Practice locations: Country Club Hills, IL; Richton Park, IL; Oak Lawn, IL; Northlake, IL; Hazel Crest, IL; Evergreen Park, IL; Burbank, IL; Burnham, IL… |
National Provider Directory
National Provider DirectoryLocations
17680 Kedzie Ave
Ste 201
Hazel Crest, IL 60429
Phone (708) 799-2499
17680 Kedzie Ave
Ste 101
Hazel Crest, IL 60429
Phone (708) 798-8800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435536000000",
"number": "1194770586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17680 KEDZIE AVE",
"address_2": "SUITE 101",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17680 KEDZIE AVE",
"address_2": "SUITE 101",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292043",
"telephone_number": "708-799-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISHNA SUNKARA MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2015-06-29",
"status": "A",
"authorized_official_last_name": "SUNKARA",
"authorized_official_first_name": "KRISHNA",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "708-799-7990",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "57322217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001627870",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.