SANDEEP GURBUXANI
NPI 1003093535
Pathology - Hematology in Chicago, IL
About Sandeep Gurbuxani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDEEP GURBUXANI (NPI 1003093535) is an individual hematology provider in Chicago, Illinois, licensed in Illinois (036115810) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandeep Gurbuxani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sandeep Gurbuxani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60637
- Reassigned Medicare billing, Illinois and Indiana enrollments
- 2,237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 26
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Chicago Medical Center
Acute Care Hospitals · Chicago, ILIngalls Memorial Hospital
Acute Care Hospitals · Harvey, ILSilver Cross Hospital And Medical Centers
Acute Care Hospitals · New Lenox, ILUchicago Medicine Adventhealth Bolingbrook
Acute Care Hospitals · Bolingbrook, ILCommunity Hospital
Acute Care Hospitals · Munster, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60637
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandeep Gurbuxani's NPI number?
The NPI number for Sandeep Gurbuxani is 1003093535. It was assigned to this individual provider in the NPPES registry on January 28, 2008.
Where is Sandeep Gurbuxani located?
Sandeep Gurbuxani practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.
What is Sandeep Gurbuxani's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.
Is Sandeep Gurbuxani enrolled in Medicare?
Yes. Sandeep Gurbuxani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sandeep Gurbuxani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Gurbuxani reassigns Medicare benefits to University Of Chicago (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandeep Gurbuxani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandeep Gurbuxani accept?
Health plans from Oscar Health list Sandeep Gurbuxani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sandeep Gurbuxani affiliated with any hospitals?
According to CMS data, Sandeep Gurbuxani is affiliated with The University Of Chicago Medical Center, Ingalls Memorial Hospital, Silver Cross Hospital And Medical Centers, Uchicago Medicine Adventhealth Bolingbrook and Community Hospital.
When was this NPI record last updated?
The NPPES record for Sandeep Gurbuxani was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.