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DR. SUNITA DERVESH KOUL
NPI 1003127895
Internal Medicine in Naperville, IL

Active since June 25, 2010PECOS Enrolled
90.18/100
CMS Quality Rating
1879 BAY SCOTT CIR STE 111, NAPERVILLE, IL 60540(630) 961-1341(630) 961-1782 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Jun 23, 2025, Dec 22, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Sunita Dervesh Koul NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUNITA DERVESH KOUL (NPI 1003127895) is an individual internal medicine provider in Naperville, Illinois, licensed in Illinois (36.132608) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and maintains a secondary practice location in Huntley.

NPPES Registry Identity

NPI1003127895
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUNITA DERVESH KOUL
Location Address1879 BAY SCOTT CIR STE 111Naperville, IL 60540-1109
Mailing Address1879 Bay Scott Cir Ste 111Naperville, IL 60540-1109 · (515) 991-7370
Phone(630) 961-1341
Fax(630) 961-1782
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 25, 2010
Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1003127895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36.132608
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036132608 (IL)
1879 BAY SCOTT CIR STE 111, Naperville, IL 60540
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Secondary Practice Location 1

Location 110400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 759-4323 · Fax (815) 759-4948

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunita Dervesh Koul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456587427
PECOS Enrollment IDI20210803001607
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Sunita Koul reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Naperville Family Clinic Sc
Same address
Internal Medicine
1879 BAY SCOTT CIR STE 111
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1720658248 (630) 961-1341
Urgent Medical Care LLC
4.5 mi
Urgent Care
1355 E OGDEN AVE, STE 109
Naperville, IL 60563
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1437862851 (630) 984-9480
Primary Health Care LLC
4.7 mi
Primary Care
1355 E OGDEN AVE, STE 109
Naperville, IL 60563
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1346953767 (630) 555-1212
Inpatient Consultants Of Illinois, P.C.
14 mi
Hospitalist
15 SALT CREEK LN, SUITE 111
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
NPI 1548442569 (630) 371-0133
Natarajan Medical Group Of Illinois, PC
24 mi
Hospice and Palliative Medicine
6400 SHAFER CT STE 300
Rosemont, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1639430861 (847) 759-9449

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
646 services172 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
344 services113 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
260 services228 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
253 services120 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
184 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
177 services152 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.37
Improvement Activities40
Cost80.13

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%224 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$46.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims18 services$14.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims24 services$61.50 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.28 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$8.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAPERVILLE FAMILY CLINIC SC
Internal Medicine
1879 BAY SCOTT CIR STE 111
NAPERVILLE, IL 60540
Dupage County (630) 961-1341

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 Sunita Koul's NPI number?

The NPI number for Sunita Koul is 1003127895. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Sunita Koul located?

Sunita Koul practices at 1879 Bay Scott Cir Ste 111, Naperville, IL 60540. The listed phone number is (630) 961-1341.

What is Sunita Koul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunita Koul enrolled in Medicare?

Yes. Sunita Koul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunita Koul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunita Koul reassigns Medicare benefits to 5 organizations: Naperville Family Clinic Sc (Naperville, IL), Urgent Medical Care LLC (Naperville, IL), Primary Health Care LLC (Naperville, IL), Inpatient Consultants Of Illinois, P.C. (Hinsdale, IL) and Natarajan Medical Group Of Illinois, PC (Rosemont, IL). Each 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 Sunita Koul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunita Koul accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sunita Koul 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 Sunita Koul affiliated with any hospitals?

According to CMS data, Sunita Koul is affiliated with Copley Memorial Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sunita Koul was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.