Individual provider Active NPI

Sundar Sivaprakasam, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1720063530
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036052320 Issued in IL
Practice address
2701 W 68TH St
Chicago, IL 60629-1813
Phone
(773) 884-7920
NPI assigned
Dec 14, 2005
Last updated
Apr 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036052320 IL Primary

Addresses

Primary practice location

2701 W 68TH St
Chicago, IL 60629-1813

Mailing address

1296 Woburn Dr
Lemont, IL 60439-8933
Phone (773) 884-7920

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
I20060412000107 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 4587673132 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14489 John Humphrey Dr
Orland Park, IL 60462-2671

14489 John Humphrey Dr
Orland Park, IL 60462-5046

701 Lee
Suite 150
Des Plaines, IL 60016-4554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.03 of 100Reported as group
Quality
90.13
Improvement activities
40
Cost
19.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Medical Associates, P.C. CurrentSince Jan 1, 2023 Accepting new patients
Vital Medical Associates PC CurrentSince Nov 6, 2024 Accepting new patients
Illinois Medical Associates PC CurrentSince Aug 1, 2025 Accepting new patients
Vivek Gupta, M.D., S.C. Past Accepting new patients
Lillian Rochelle SJ Deleon, MD PC Past Accepting new patients
Holy Cross Hospital Past Accepting new patients

Locations

701 Lee St
Ste 150
Des Plaines, IL 60016
Phone (224) 985-1214

14489 John Humphrey Dr
#1
Orland Park, IL 60462
Phone (708) 364-1205

14489 John Humphrey Dr
Ste 100
Orland Park, IL 60462
Phone (708) 855-8906

14489 John Humphrey Dr
Ste 1NA
Orland Park, IL 60462
Phone (708) 359-0240

Organizations & group practices 6

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 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1720063530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 WOBURN DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398933",
            "telephone_number": "773-884-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-884-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAPRAKASAM",
        "first_name": "SUNDAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036052320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.