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DR. PURANI P PALANISWAMI M.D.
NPI 1164568507
Internal Medicine - Rheumatology in Elmhurst, IL

Active since January 30, 2007PECOS Enrolled
91.35/100
CMS Quality Rating
1200 S YORK ST STE 200, ELMHURST, IL 60126(331) 221-9199(331) 221-2774 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Purani P Palaniswami M.d. NPPES

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

DR. PURANI P PALANISWAMI M.D. (NPI 1164568507) is an individual rheumatology provider in Elmhurst, Illinois, licensed in Illinois (036-123926) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lombard.

NPPES Registry Identity

NPI1164568507
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PURANI P PALANISWAMICredential: M.D.
Location Address1200 S YORK ST STE 200Elmhurst, IL 60126-5626
Mailing Address4201 Winfield Rd Fl 4Warrenville, IL 60555-4025 · (331) 221-6377 · Fax (331) 221-2357
Phone(331) 221-9199
Fax(331) 221-2774
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1164568507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036-123926
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2006017936 (MO)
1200 S YORK ST STE 200, Elmhurst, IL 60126
Open in Google Maps ↗

Secondary Practice Location 1

Location 1130 S Main St Ste 201Lombard, IL 60148-2670 · Phone (331) 221-9199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Purani P Palaniswami M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Purani Palaniswami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elmhurst Memorial Healthcare
0.3 mi
Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
NPI 1457493454 (331) 221-9000
Endeavor Health Medical Group
19 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
79,800 services28 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,000 services30 patients
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.
640 services321 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
301 services67 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
266 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ERIKA R WALLACE MD
Obstetrics & Gynecology
1200 S YORK ST STE 200
ELMHURST, IL 60126
Dupage County (331) 221-9002

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 Purani Palaniswami's NPI number?

The NPI number for Purani Palaniswami is 1164568507. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Purani Palaniswami located?

Purani Palaniswami practices at 1200 S York St Ste 200, Elmhurst, IL 60126. The listed phone number is (331) 221-9199.

What is Purani Palaniswami's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Purani Palaniswami enrolled in Medicare?

Yes. Purani Palaniswami is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Purani Palaniswami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Purani Palaniswami reassigns Medicare benefits to 2 organizations: Elmhurst Memorial Healthcare (Elmhurst, IL) and Endeavor Health Medical Group (Evanston, 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 Purani Palaniswami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Purani Palaniswami accept?

Health plans from Oscar Health list Purani Palaniswami 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.

When was this NPI record last updated?

The NPPES record for Purani Palaniswami was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.