Sujith Sundararaj, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

036101003 Issued in IL

Practice address

47 W Division St Ste 269
Chicago, IL 60610-2339

Phone

(312) 505-3000

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1982799979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FOREST EDGE DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641949",
            "telephone_number": "708-229-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W DIVISION ST STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102339",
            "telephone_number": "312-505-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARARAJ",
        "first_name": "SUJITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036101003",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036101003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5686079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ammar Sunbulli
• Sundance Methadone Treatment Center,LLC
• Mira Sundar Rao
• Rohan Sundaralingam, M.D
• Narayan Sundaram
• Gayathri Sundaresan, M.D.
• Vinaik Mootha Sundaresan, MD
• Kirstyn Sunday, SLP
• Kyndsi Sundberg
• Kathryn A. Sunderbruch, MD

• Hospitalist Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Hospitalist Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.