DR. THIRUPPATHY R. SABAPATHY D.O. NPI 1003015892

Anesthesiology in Naperville, IL

NPI 1003015892 Individual Male Years of Experience 19 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 86

NPI Profile for DR. THIRUPPATHY R. SABAPATHY D.O.

Thiruppathy Sabapathy is a provider established in Naperville, Illinois and his medical specialization is anesthesiology with more than 19 years of experience. The NPI number of Thiruppathy Sabapathy is 1003015892 and was assigned on July 2007. The practitioner's primary taxonomy code is 207L00000X with license number 036114409 (IL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

An anesthesiologist like Dr. Thiruppathy R. Sabapathy D.o. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Thiruppathy Sabapathy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Thiruppathy Sabapathy is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 86, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

NPI

1003015892

Provider NameDR. THIRUPPATHY R. SABAPATHY D.O.
Provider Location Address801 S WASHINGTON ST NAPERVILLE, IL 60540
Provider Mailing Address387 SHUMAN BLVD SUITE 240W NAPERVILLE, IL 60563
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-12-2007
Last Update Date05-10-2017


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.036114409
License StateIL
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. THIRUPPATHY R. SABAPATHY D.O.
801 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540
Phone: (630) 355-0450

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Mailing Address

DR. THIRUPPATHY R. SABAPATHY D.O.
387 SHUMAN BLVD
SUITE 240W
NAPERVILLE, IL
ZIP 60563
Phone: (630) 355-0450



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7012008048
PECOS Enrollment IDI20070806000681
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 77.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 100
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 86
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 35Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 16Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 15Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • 14Anesthesia for lens surgery (HCPCS:00142)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine036114409ILNo

Taxonomy Description: interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036-114409OTHER (01)ILILLINOIS STATE LICENSE

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 8 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003015892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790772457 STEPHEN P BALDWIN MD
Individual
Hospitalist801 S WASHINGTON ST 3RD FLOOR
NAPERVILLE, IL 60540
(630) 527-5359
1558345934DR. KEVIN P COLLINS M.D.
Individual
Emergency Medicine801 S WASHINGTON ST EMERGENCY SERVICES ADMINISTRATION
NAPERVILLE, IL 60540
(630) 527-5144
1104802016DR. JEFFREY D. GIRARDOT MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 527-3426
1700866167 GUY R. MILLER D.O.
Individual
Emergency Medicine801 S WASHINGTON ST EDWARD HOSPITAL AND HEALTH SERVICES
NAPERVILLE, IL 60540
(630) 527-4659
1194797902DR. SCOTT L SIMS M.D.
Individual
Emergency Medicine801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 527-3000
1396705489 GLEN COULOMB MD
Individual
Surgery (Vascular Surgery)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 281-2670
1558324871 BRENT EUGENE SMITH D.O.
Individual
Hospitalist801 S WASHINGTON ST 3RD FLOOR
NAPERVILLE, IL 60540
(630) 527-5359
1447209937 MINEY MATHEWS MD
Individual
Hospitalist801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 527-5197
1972553261 HEIDI E EKLUND MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1750331856NAPERVILLE RADIOLOGISTS, SC
Organization
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1831140292 MICHAEL W MITCHELL MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1336190735 LEONARD SHERMAN MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1326099722 TODD SINGER MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1750331260 DONALD G BALL MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1063463511 PAUL BACKAS MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1508817065 PAUL GOLDBERG MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1598716052 EVE MARA MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1346291838EDWARD HEALTH VENTURES
Organization
Pediatrics801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 527-5197
1407807993 VICTOR HU MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705
1871544239 YUK PUI LI MD
Individual
Radiology (Diagnostic Radiology)801 S WASHINGTON ST
NAPERVILLE, IL 60540
(630) 321-2705

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Thiruppathy R. Sabapathy D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.