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SANDHYA NAGUBADI M.D.
NPI 1043262207
Internal Medicine in Palos Heights, IL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
12800 S RIDGELAND AVE STE E, PALOS HEIGHTS, IL 60463(708) 429-3700(708) 429-4460 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandhya Nagubadi M.d. NPPES

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

SANDHYA NAGUBADI M.D. (NPI 1043262207) is an individual internal medicine provider in Palos Heights, Illinois, licensed in Illinois (036-111326) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043262207
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA NAGUBADICredential: M.D.
Location Address12800 S RIDGELAND AVE STE EPalos Heights, IL 60463-2391
Mailing Address12800 S Ridgeland Ave Ste EPalos Heights, IL 60463-2391 · (708) 429-3700 · Fax (708) 429-4460
Phone(708) 429-3700
Fax(708) 429-4460
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1043262207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-111326
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.

12800 S RIDGELAND AVE STE E, Palos Heights, IL 60463
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Other Identifiers 3

Medicaid036111326IL
Other36-4295605IL · Tax Identification Number
Other01622760IL · Blue Shield Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandhya Nagubadi M.d. 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.

PECOS PAC ID1850354226
PECOS Enrollment IDI20041105001084
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims51 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims20 services$1.00 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$47.17 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$40.60 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
2 suppliers20 claims20 services$63.43 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.12 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 3

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

IMMPACT CARDIOLOGY SC
Internal Medicine (Cardiovascular Disease)
12800 S RIDGELAND AVE STE E
PALOS HEIGHTS, IL 60463
Cook County (708) 429-3700
CHIN-HUSN SHIH
Nurse Practitioner (Family)
12800 S RIDGELAND AVE STE E
PALOS HEIGHTS, IL 60463
Cook County (708) 429-3700
GEORGIOS KARANASTASIS
Internal Medicine
12800 S RIDGELAND AVE STE E
PALOS HEIGHTS, IL 60463
Cook County (708) 429-3700

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 Sandhya Nagubadi's NPI number?

The NPI number for Sandhya Nagubadi is 1043262207. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Sandhya Nagubadi located?

Sandhya Nagubadi practices at 12800 S Ridgeland Ave Ste E, Palos Heights, IL 60463. The listed phone number is (708) 429-3700.

What is Sandhya Nagubadi's specialty?

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

Is Sandhya Nagubadi enrolled in Medicare?

Yes. Sandhya Nagubadi 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.

Is Sandhya Nagubadi affiliated with any hospitals?

According to CMS data, Sandhya Nagubadi is affiliated with Advocate Trinity Hospital, Palos Community Hospital, Ingalls Memorial Hospital, Advocate Christ Hospital & Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Nagubadi was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.