Sinha S Chunduri M.DS.C

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036048105 Issued in IL

Legal business name

SINHA S CHUNDURI M.DS.C

Practice address

675 W North Ave
Suite 511
Melrose Park, IL 60160

Phone

(708) 343-2235

Fax

(708) 343-2250

NPI assigned

Nov 12, 2007

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sinha S Chunduri, M.DNPI 1891866067

Title

President

Phone

(708) 343-2235

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sinha S Chunduri, M.D.

  • Gastroenterology Physician
  • Melrose Park, IL
  • NPI 1891866067
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1568642106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 511",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2235",
            "fax_number": "708-343-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 511",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2235",
            "fax_number": "708-343-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINHA S CHUNDURI M.DS.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "CHUNDURI",
        "authorized_official_first_name": "SINHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-343-2235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036048105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Audrey Siegel, DDS
• Anjelica Sierra, SLP
• Evelyn Darlene Simmons, MSW
• Sherrone D Simon, M.D.
• John Paul Sims, MD
• Michael J Sit, DNP, CRNA
• Lindsay Smaron, MA, CCC-SLP
• Kelly Smith, CCC-SLP
• Renata Jene Sobey, CRNA
• Richard O Sodeinde

• Gastroenterology Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.

Verify at the official NPI Registry.