Active NPI
Sinha S Chunduri, M.D.
- Gastroenterology Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036048105
- Practice address
- 675 W North Ave
Suite 511
Melrose Park, IL 60160 - Phone
- (708) 343-2235
- Fax
- (708) 343-2250
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036048105 | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite 511
Melrose Park, IL 60160
Mailing address
675 W North Ave
Suite 511
Melrose Park, IL 60160
Phone (708) 343-2235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036048105 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
675 W N Ave
Suite 511
Melrose Park, IL 60160-1636
Phone (708) 343-2235
Hospital & facility affiliations
- Loyola Gottlieb Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036048105 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinha S Chunduri M.DS.C | Gastroenterology | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
1111 Superior St
Ste 406
Melrose Park, IL 60160
Phone (708) 343-2235
675 W North Ave
Ste 511
Melrose Park, IL 60160
Phone (708) 343-2235
Interoperability endpoints
- schunduri50694@direct.luhs.org
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Melrose Park, IL
- NPI 1568642106
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1891866067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 511",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-343-2235",
"fax_number": "708-343-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 511",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-343-2235",
"fax_number": "708-343-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNDURI",
"first_name": "SINHA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036048105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048105",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.