NPIMap

Organization Active NPI

Sunshine Wounds LLC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1831917368
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNSHINE WOUNDS LLC
Practice address
3000 N Halsted St Ste 600
Chicago, IL 60657-9269
Phone
(708) 237-9535
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Rajesh IyengarNPI 1821023714
Title
Member
Phone
(708) 237-9535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3000 N Halsted St Ste 600
Chicago, IL 60657-9269

Mailing address

3000 N Halsted St Ste 600
Chicago, IL 60657-9269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241209002302 IL Part B Supplier - Clinic/Group Practice 0840726212 Receives reassigned benefits from 9 practitioners
Practice locations: Chicago, IL
O20251013000434 IN Part B Supplier - Clinic/Group Practice 0840726212 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterton, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1831917368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269",
            "telephone_number": "708-237-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE WOUNDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-237-9535"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.