NPIMap

Individual provider Active NPI

Sandesh Kuchipudi, M.D.

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1821057324
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036111755 Issued in IL
Practice address
7411 Lake St Ste 1120
River Forest, IL 60305-1882
Phone
(708) 387-0121
Fax
(773) 825-2466
NPI assigned
Mar 22, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036111755 IL Primary

Addresses

Primary practice location

7411 Lake St Ste 1120
River Forest, IL 60305-1882

Mailing address

PO Box 27
Brookfield, IL 60513-0027
Phone (708) 387-0121

Other identifiers 1

IdentifierTypeStateIssuer
036111755MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000592 IL Practitioner - Internal Medicine 0749243566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Chicago College of Medicine and Surgery, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brook Park Medical Associates S CGroup PAC ID 3577704246, 2 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

7411 Lake St
Suite 1120
River Forest, IL 60305-1882
Phone (630) 202-7785

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111755ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Park Medical Associates S C Internal Medicine CurrentSince Apr 16, 2013 Accepting new patients
Thorek Radiology Group NFP Current Accepting new patients
Thorek Memorial Hospital CurrentSince May 12, 2025 Accepting new patients
Thorek Memorial Hospital CurrentSince May 12, 2025 Accepting new patients

Locations

3101 Maple Ave
Brookfield, IL 60513
Phone (708) 381-0121

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

901 S Austin Blvd
Chicago, IL 60644
Phone (773) 287-5959

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490

Organizations & group practices 4

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 12

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1821057324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605130027",
            "telephone_number": "708-387-0121",
            "fax_number": "773-825-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST STE 1120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051882",
            "telephone_number": "708-387-0121",
            "fax_number": "773-825-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHIPUDI",
        "first_name": "SANDESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111755",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.