DR. SUNNAN MOINUDDIN (MD) – Internal Medicine Physician, NPI 1497140727

DR. SUNNAN MOINUDDIN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 036146571 (IL). The NPI Number for DR. SUNNAN MOINUDDIN (MD) is 1497140727

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUNNAN MOINUDDIN (MD)
NPI
1497140727
Phone
(773) 296-5424
Address
836 W WELLINGTON AVE
Enumeration Date
2 April 2015
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309312929
Graduation Year
2014 (12 years ago)
PAC ID
0143524199
Group Practice PAC ID
1951717016
Professional Enrollment ID
I20180828003683
Address ID
IL601082140BL303XXRDXX504
Telehealth
Yes

Contacts

Secure Messaging
smoinuddin48774@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

8,828 INTERNAL MEDICINE in IL

Provider Addresses for DR. SUNNAN MOINUDDIN (MD)

  • 836 W WELLINGTON AVE

    CHICAGO, IL 606575147

    Phone: (773) 296-5424

    Fax: (773) 296-5265

    Type: Mailing

  • 303 E ARMY TRAIL RD STE 111

    BLOOMINGDALE, IL 601082140

    Phone: (630) 931-2929

    Fax: (833) 731-0578

    Type: Mailing

  • 303 E ARMY TRAIL RD STE 131

    BLOOMINGDALE, IL 601082140

    Phone: (630) 931-2929

    Fax: (833) 731-0578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180828003683IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes320127$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes309158$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes252127$0
99239Hospital discharge day management, more than 30 minutes179167$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes174108$0
View full utilization report →

Insurance plans in this area (ZIP 60657)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951717016View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
Nurse PractitionerIL
Internal MedicineIL

Reviews

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Frequently asked questions

Is there an official ID for DR. SUNNAN MOINUDDIN (MD) in U.S. healthcare records?
The official identifier for DR. SUNNAN MOINUDDIN (MD) is NPI 1497140727.
Is DR. SUNNAN MOINUDDIN (MD) still an active registrant?
DR. SUNNAN MOINUDDIN (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. SUNNAN MOINUDDIN (MD)?
DR. SUNNAN MOINUDDIN (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. SUNNAN MOINUDDIN (MD) registered?
Use Chicago, Illinois as the headline location for DR. SUNNAN MOINUDDIN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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