Individual provider Active NPI

Sushama Gundlapalli, M.D.

  • Gastroenterology Physician
  • Naperville, IL
National Provider Identifier
1568401529
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-106014 Issued in IL
Practice address
1243 Rickert Dr
Naperville, IL 60540-0954
Phone
(630) 527-6450
Fax
(630) 527-6456
NPI assigned
Jun 5, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-106014 IL Primary

Addresses

Primary practice location

1243 Rickert Dr
Naperville, IL 60540-0954

Mailing address

1243 Rickert Dr
Naperville, IL 60540-0954
Phone (630) 527-6450

Other identifiers 2

IdentifierTypeStateIssuer
P00358682OtherILMEDICARE RAILROAD
036106014MedicaidIL

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
I20060629000053 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 8123030566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Gastroenterology LTDGroup PAC ID 8628047735, 22 clinicians

Practice addresses (Care Compare)

1243 Rickert Dr
Naperville, IL 60540-0954
Phone 6305276450150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
Quality
92.94
Promoting interoperability
100
Improvement activities
40
Cost
67.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-106014ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Gastroenterology LTD CurrentSince Aug 1, 2006 Accepting new patients
Edward Hospital Past Accepting new patients

Locations

39273 Treasury Ctr
Chicago, IL 60694

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

Interoperability endpoints

  • Direct secure messaging: sgundlapalli16597@direct.edward.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1568401529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDLAPALLI",
        "first_name": "SUSHAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-106014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00358682",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.