Individual provider Active NPI

Tharani Sundararajan, MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1376102285
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.159188 Issued in IL
Practice address
1800 Northside Forsyth Dr Ste 40
Cumming, GA 30041-8416
Phone
(678) 947-6440
Fax
(678) 513-4764
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 98858 GA
Hospitalist Physician 208M00000X 036.159188 IL
Internal Medicine Physician 207R00000X 036.159188 IL Primary
Internal Medicine Physician 207R00000X 125074752 IL

Addresses

Primary practice location

1800 Northside Forsyth Dr Ste 40
Cumming, GA 30041-8416

Mailing address

4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102

Other practice location 1

751 N Rutledge St Ste 1100
Springfield, IL 62702-4968
Phone (217) 545-8000

Other practice location 2

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Other practice location 3

701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220602001748 IL Practitioner - Internal MedicinePractitioner - Hospitalist 3678807146 Reassigns benefits to 2 organizations
I20240611002351 GA Practitioner - Internal Medicine 3678807146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1800 Northside Forsyth Dr
Suite 450
Cumming, GA 30041-6012
Phone (770) 442-1911

400 Dawson Commons Cir
Dawsonville, GA 30534-6269
Phone (706) 265-8790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98858GAMDInternal Medicine Physician
125074752ILMDInternal Medicine Physician
036.159188ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 11, 2022 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 1, 2022 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 1, 2022 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1800 Northside Forsyth Dr
Ste 450
Cumming, GA 30041
Phone (678) 947-6440

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

751 N Rutledge St
Ste 1100
Springfield, IL 62702
Phone (217) 545-0182

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

201 E Madison St
Ste 328
Springfield, IL 62702

701 N 1st St
Springfield, IL 62702
Phone (217) 545-0182

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 8

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 1

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1376102285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR STE 40",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418416",
            "telephone_number": "678-947-6440",
            "fax_number": "678-513-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 N Rutledge St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024968",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Northside Forsyth Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417659",
            "country_code": "US",
            "telephone_number": "770-844-3200",
            "fax_number": "770-844-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627023757",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARARAJAN",
        "first_name": "THARANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "98858",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.159188",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.159188",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125074752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.