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KRISHNA SUNKARA MD
NPI 1154328185
Internal Medicine - Pulmonary Disease in Hazel Crest, IL

Active since July 05, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 14D1054695 · Waiver
100/100
CMS Quality Rating
17680 KEDZIE AVE, 101, HAZEL CREST, IL 60429(708) 799-7990(708) 799-4093 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krishna Sunkara Md NPPES

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

KRISHNA SUNKARA MD (NPI 1154328185) is an individual pulmonary disease provider in Hazel Crest, Illinois, licensed in Illinois (036070359) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 29, 2028, and is affiliated with Advocate Trinity Hospital.

NPPES Registry Identity

NPI1154328185
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKRISHNA SUNKARACredential: MD
Location Address17680 KEDZIE AVE, 101Hazel Crest, IL 60429-2043
Mailing AddressPo Box 967Tinley Park, IL 60477-0967 · (708) 532-6029 · Fax (708) 532-6095
Phone(708) 799-7990
Fax(708) 799-4093
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 5, 2005
Last NPPES UpdateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1154328185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036070359
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
17680 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Other Identifiers 1

Medicaid036070359IL

Accepted Insurance

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

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

Krishna Sunkara Md 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 ID6406843218
PECOS Enrollment IDI20040427000498
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1054695

Krishna Sunkara M D S C · Hazel Crest, IL
Active · expires May 29, 2028
CLIA Number14D1054695
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorKrishna Sunkara MD
Laboratory Phone(708) 799-7990
Laboratory LocationKrishna Sunkara M D S C17680 S Kedzie Ave Ste 101, Hazel Crest, IL 60429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Follow-up inpatient or observation ventilation assistance and management 94003
Follow-up inpatient or observation ventilation assistance and management involves continuous monitoring and adjustment of your ventilator while in the hospital. This ensures your lungs receive the right amount of air, promoting your recovery and well-being.
1,216 services67 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.
812 services71 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.
341 services74 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.
320 services71 patients
Nursing facility ventilation assistance and management 94004
Nursing facility ventilation assistance and management involves using special equipment to help patients breathe. Trained healthcare professionals monitor and adjust the equipment to ensure optimal breathing support. It's important for patients with respiratory difficulties or conditions.
153 services17 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.
70 services65 patients

Hospital Affiliations CMS Care Compare 4

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.79
Improvement Activities40
Cost100

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
100%129 patients
Documentation of Current Medications in the Medical Record
100%236 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%209 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
99%211 patients4/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
100%36 patients
Sleep Apnea: Severity Assessment at Initial Diagnosis
100%21 patients
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 26

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
5 suppliers13 claims31 services$6.36 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$31.80 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier17 claims990 services$5.35 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers36 claims70 services$1.11 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
2 suppliers12 claims24 services$1.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers11 claims11 services$7.45 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 9

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

DR. NEELAM MOTILAL BHATIA M.D.
Nuclear Medicine
17680 KEDZIE AVE, SUITE 101
HAZEL CREST, IL 60429
Cook County (708) 574-6814
KRISHNA SUNKARA MD SC
Internal Medicine (Pulmonary Disease)
17680 KEDZIE AVE, SUITE 101
HAZEL CREST, IL 60429
Cook County (708) 799-7990
TAHIR A ABBASI M.D.
Internal Medicine (Cardiovascular Disease)
17680 KEDZIE AVE, SUITE 206
HAZEL CREST, IL 60429
Cook County (708) 206-1090
PRAKASH G SANE MD SC
Internal Medicine
17680 KEDZIE AVE, SUITE 201
HAZEL CREST, IL 60429
Cook County (708) 799-2499
K S SHAH MD SC
Obstetrics & Gynecology
17680 KEDZIE AVE, STE 201
HAZEL CREST, IL 60429
Cook County (708) 799-5420
DR. AMARJIT SINGH BHASIN MD
Psychiatry & Neurology (Neurology)
17680 KEDZIE AVE, SUITE 105
HAZEL CREST, IL 60429
Cook County (708) 799-3044
APOTHECO PHARMACY DECATUR LLC
Pharmacy (Community/Retail Pharmacy)
17680 KEDZIE AVE, SUITE 104
HAZEL CREST, IL 60429
Cook County (708) 957-4949
AMARJIT S BHASIN MD LTD
Psychiatry & Neurology (Neurology)
17680 KEDZIE AVE, SUITE 105
HAZEL CREST, IL 60429
Cook County (708) 799-3044

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 Krishna Sunkara's NPI number?

The NPI number for Krishna Sunkara is 1154328185. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Krishna Sunkara located?

Krishna Sunkara practices at 17680 Kedzie Ave 101, Hazel Crest, IL 60429. The listed phone number is (708) 799-7990.

What is Krishna Sunkara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Krishna Sunkara enrolled in Medicare?

Yes. Krishna Sunkara 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.

Does Krishna Sunkara hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1054695) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Krishna Sunkara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Krishna Sunkara 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 Krishna Sunkara affiliated with any hospitals?

According to CMS data, Krishna Sunkara is affiliated with Advocate Trinity Hospital, Osf Little Company Of Mary Medical Center, Elmhurst Memorial Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Krishna Sunkara was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.