BHANU PRASAD SANKINENI M.D.
NPI 1063675619
Hospitalist in Mchenry, IL

Q: What is Bhanu Prasad Sankineni's NPI number?

The NPI number for Bhanu Prasad Sankineni is 1063675619. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Q: What is Bhanu Prasad Sankineni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 03, 2008PECOS Enrolled

4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050(615) 338-6600 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

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About Bhanu Prasad Sankineni M.d. NPPES

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

BHANU PRASAD SANKINENI M.D. (NPI 1063675619) is an individual hospitalist provider in Mchenry, Illinois, licensed in Illinois (036129148) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063675619

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBHANU PRASAD SANKINENICredential: M.D.

Location Address4309 W MEDICAL CENTER DR STE A102Mchenry, IL 60050-8436

Mailing Address4309 W Medical Center Dr Ste A102Mchenry, IL 60050-8436 · (815) 338-6600

Phone(615) 338-6600

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 3, 2008

Last NPPES UpdateJanuary 15, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2024

✔ NPI 1063675619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036129148

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036129148 (IL), 64184-20 (WI)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 64184-20 (WI)

4309 W MEDICAL CENTER DR STE A102, Mchenry, IL 60050

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Secondary Practice Locations 2

Location 137868 US Highway 18Prairie Du Chien, WI 53821-8416 · Phone (702) 453-3799 · Fax (702) 453-5741

Location 23200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8939

Other Identifiers 1

Medicaid1063675619WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhanu Prasad Sankineni M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799947669

PECOS Enrollment IDI20151204000391

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

Medicare enrollment records show Bhanu Prasad Sankineni reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians

35 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Edgerton Hospital And Health Services Inc

42 mi

Pain Medicine

757 E MILWAUKEE ST STE A
Whitewater, WI 53190

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1326192261 (Wisconsin)
70 clinicians in this Medicare group

NPI 1538845888 (608) 884-1609

Wil Hospitalists LLC

53 mi

Internal Medicine

11101 N SHERMAN RD
Edgerton, WI 53534

Reassigned Medicare billing, Wisconsin enrollment
10 clinicians in this Medicare group

NPI 1245776384 (281) 853-4429

Dean Health Systems, Inc

76 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

Upland Hills Health, Inc

87 mi

Family Medicine

1809 SPRINGDALE STREET
Mount Horeb, WI 53572

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1487745501 (Wisconsin)
166 clinicians in this Medicare group

NPI 1245628452 (608) 930-8000

Lafayette County

96 mi

Mental Health (Including Community Mental Health Center)

15701 COUNTY ROAD K
Darlington, WI 53530

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1114987054 (Wisconsin)
53 clinicians in this Medicare group

NPI 1740273358 (608) 776-4800

Cogent Healthcare Of Illinois, LLC

231 mi

Internal Medicine

1005 BROADWAY ST
Quincy, IL 62301

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1487897849 (615) 377-5652

Sound Physicians Of Illinois, LLC

271 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Illinois enrollment
419 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Infinite Medical PC

875 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, Wisconsin enrollment
18 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

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 12

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

174 services153 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

68 services48 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

68 services66 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.

65 services51 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.

60 services50 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.

52 services50 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.

31 services30 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services22 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

26 services16 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.

23 services23 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

23 services23 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.

20 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521312

Location800 Clay StDarlington, WI 53530 · Lafayette County

Emergency services

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521319

Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County

Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521343

Location900 Ridge StStoughton, WI 53589 · Dane County

Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521352

Location800 Compassion WayDodgeville, WI 53533 · Iowa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 3

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers11 claims11 services$54.90 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

4 suppliers20 claims20 services$93.73 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$26.41 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 13

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

DR. PRASHANT SURA M.D.

Hospitalist