Individual provider Active NPI

Chandrasekhar Sompalli, MD

  • Orthopaedic Surgery Physician
  • Berwyn, IL
National Provider Identifier
1669588489
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036094752 Issued in IL
Practice address
1401 S Harlem Ave
Berwyn, IL 60402-1259
Phone
(773) 229-1414
Fax
(773) 904-9857
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036094752 IL Primary

Addresses

Primary practice location

1401 S Harlem Ave
Berwyn, IL 60402-1259

Mailing address

1401 S Harlem Ave
Berwyn, IL 60402-1259
Phone (773) 229-1414

Other identifiers 2

IdentifierTypeStateIssuer
09015685OtherILBCBS
036094752MedicaidIL

Other names 1

  • Sekhar Sompalli Other name

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
I20080228000446 IL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5496839425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6775

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics and Sports Medicine, LLC CurrentSince Jul 1, 2013 Accepting new patients
Thorek Memorial Hospital CurrentSince Jul 7, 2019 Accepting new patients
Thorek Radiology Group NFP Current Accepting new patients
Thorek Memorial Hospital CurrentSince Jul 7, 2019 Accepting new patients
Pekin Prohealth Inc Past Accepting new patients

Locations

6524 W Archer Ave
Chicago, IL 60638
Phone (773) 229-9600

2875 W 19th St
Fl 2
Chicago, IL 60623
Phone (773) 229-1414

Interoperability endpoints

  • Direct secure messaging: csompalli@eoasml-il.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1669588489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021259",
            "telephone_number": "773-229-1414",
            "fax_number": "773-904-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021259",
            "telephone_number": "773-229-1414",
            "fax_number": "773-904-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMPALLI",
        "first_name": "CHANDRASEKHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036094752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09015685",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094752",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEKHAR",
            "last_name": "SOMPALLI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.