ARPANA PARUCHURI M.D.
NPI 1043673817
Internal Medicine - Critical Care Medicine in Palos Heights, IL

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-4529 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Jul 8, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Arpana Paruchuri M.d. NPPES

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

ARPANA PARUCHURI M.D. (NPI 1043673817) is an individual critical care medicine provider in Palos Heights, Illinois, licensed in Illinois (036149560) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043673817
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameARPANA PARUCHURICredential: M.D.
Location Address12251 S 80TH AVEPalos Heights, IL 60463-0930
Mailing Address12251 S 80th AvePalos Heights, IL 60463-1290 · (708) 923-3388 · Fax (708) 923-5859
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1043673817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IL · 036149560
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036149560 (IL)
12251 S 80TH AVE, Palos Heights, IL 60463

Secondary Practice Locations 2

Location 1833 Chestnut St, Suite 220Philadelphia, PA 19107-4414 · Phone (215) 955-8465
Location 21750 W Harrison StChicago, IL 60612-3825 · Phone (312) 942-2552

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

Arpana Paruchuri 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 ID9830497361
PECOS Enrollment IDI20191011000198
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
187 services105 patients
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.
154 services89 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.
95 services62 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
62 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services52 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.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

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

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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Nurse Anesthetist, Certified Registered
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Emergency Medicine
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Social Worker (Clinical)
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Anesthesiology
12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463
Nurse Practitioner
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Hospitalist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Physical Therapist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

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 Arpana Paruchuri's NPI number?

The NPI number for Arpana Paruchuri is 1043673817. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Arpana Paruchuri located?

Arpana Paruchuri practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-4529.

What is Arpana Paruchuri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Arpana Paruchuri enrolled in Medicare?

Yes. Arpana Paruchuri 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 Arpana Paruchuri affiliated with any hospitals?

According to CMS data, Arpana Paruchuri is affiliated with Palos Community Hospital.

When was this NPI record last updated?

The NPPES record for Arpana Paruchuri was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.