Active NPI
Sunil B Lulla, M.D.
- Cardiovascular Disease Physician
- Downers Grove, IL
National Provider Identifier
1477535201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-071945
- Practice address
- 3743 Highland Ave Ste 1002
Downers Grove, IL 60515-1594 - Phone
- (630) 719-4799
- Fax
- (630) 785-2127
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-071945 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-071945 | IL | Primary |
Addresses
Primary practice location
3743 Highland Ave Ste 1002
Downers Grove, IL 60515-1594
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
4121 Fairview Ave
Suite 103
Downers Grove, IL 60515
Phone (630) 852-0230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036071945 | Medicaid | IL |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slulla251049@direct.myadvocateaurora.org | ||
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | slulla251049@direct.myadvocateaurora.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-071945 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Hospital | Current | Accepting new patients | |
| Edward Hospital | Cardiovascular Disease | Current | Accepting new patients |
Locations
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1477535201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3743 HIGHLAND AVE STE 1002",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151594",
"telephone_number": "630-719-4799",
"fax_number": "630-785-2127"
}
],
"practiceLocations": [
{
"address_1": "4121 Fairview Ave",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "60515",
"country_code": "US",
"telephone_number": "630-852-0230",
"fax_number": "630-852-0244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LULLA",
"first_name": "SUNIL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-071945",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-071945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071945",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slulla251049@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "4121 Fairview Ave",
"address_2": "Suite 103",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4121 Fairview Ave",
"address_2": "Suite 103",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3743 Highland Ave Ste 1002",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605151594",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slulla251049@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "3743 Highland Ave Ste 1002",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605151594",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.