SUNDAR SIVAPRAKASAM (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1720063530

SUNDAR SIVAPRAKASAM (MD) is a healthcare provider. based in Lemont, Illinois. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036052320 (IL). The NPI Number for SUNDAR SIVAPRAKASAM (MD) is 1720063530

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
SUNDAR SIVAPRAKASAM (MD)
NPI
1720063530
Phone
(773) 884-7920
Address
1296 WOBURN DR
Enumeration Date
14 December 2005
Last Update Date
21 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083641205
Graduation Year
1970 (56 years ago)
PAC ID
4587673132
Group Practice PAC ID
1355506817
Professional Enrollment ID
I20060412000107
Address ID
IL604622671OR14489DRXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

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Provider Addresses for SUNDAR SIVAPRAKASAM (MD)

  • 1296, Woburn Drive, Lemont, Lemont Township, Cook County, Illinois, 60439, United States

    LEMONT, IL 604398933

    Phone: (773) 884-7920

    Type: Mailing

  • Holy Cross Hospital, 2701, West 68th Street, Chicago Lawn, Chicago, Lake Township, Cook County, Illinois, 60629, United States

    CHICAGO, IL 606291813

    Phone: (773) 884-7920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-01-23 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (957 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20060412000107IInternal MedicineIL2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1,167216$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow698168$0
99473Education and training to self measure blood pressure274127$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and151121$0
96127Assessment of emotional or behavioral problems11881$0
View full utilization report →

Insurance plans in this area (ZIP 60439)

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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: 1355506817View full group profile
NameSpecialtyState
-IL
-IL
Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

How is SUNDAR SIVAPRAKASAM (MD) identified in CMS data?
CMS-hosted NPPES data lists SUNDAR SIVAPRAKASAM (MD) with NPI 1720063530.
Does CMS list SUNDAR SIVAPRAKASAM (MD) as active?
Yes — SUNDAR SIVAPRAKASAM (MD) is active in the NPI listing used on this page.
What taxonomy line describes SUNDAR SIVAPRAKASAM (MD)?
For research purposes, treat SUNDAR SIVAPRAKASAM (MD) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does SUNDAR SIVAPRAKASAM (MD) serve?
SUNDAR SIVAPRAKASAM (MD)'s listing highlights Lemont, Illinois; more addresses can appear in NPPES.
Why does SUNDAR SIVAPRAKASAM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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