Sundar Sivaprakasam, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Chicago, IL
NPI 1720063530 · NPPES record last updated Apr 21, 2009
Key facts
- NPI
- 1720063530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 036052320 (IL)
- Practice address
- 2701 W 68TH St
Chicago, IL 60629-1813 - Phone
- (773) 884-7920
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal 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
- Caring Angels Home Health Services, Inc
- Frontliners Home Health
- Chicago Health, Inc
- Accord Home Health Services, Inc
- Dr Home Healthcare, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.03 of 100
- Quality
- 90.13
- Improvement activities
- 40
- Cost
- 19.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060412000107 | IL | Practitioner - Internal Medicine |
4587673132 |
Reassigns benefits to 1 organization Practice locations: Chicago, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Medical Associates PC | Current |
Accepting new patients | |
| Illinois Medical Associates PC | Current |
Accepting new patients | |
| Excellent Medical Associates, P.C. | Current |
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 1NA
Orland Park, IL 60462
Phone (708) 359-0240
14489 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 364-1205
14489 John Humphrey Dr
Ste 100
Orland Park, IL 60462
Phone (708) 855-8906
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036052320 | IL | Yes |
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
Other providers in Chicago, IL
- Siv Consultation, LLC
- Cydney Anne Sivak
- Subhakeertana Sivakumar
- Thiruvikram Sivakumar
- Aranee Packiam Sivananthan
- Lakshmi Sivarajan
- Sinthikka Sivarajapillai
- Gitanjali Sivasubramaniam
- Moshini Sivasubramaniam
- Alesia Sivels
All providers in Chicago, IL · Critical Care Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.