SIVAKAMI KRISHNAN MD
NPI 1174812374
Family Medicine in Elmhurst, IL

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
133 E BRUSH HILL RD, ELMHURST, IL 60126(630) 279-8771(630) 348-3078 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, May 4, 2021 (2 updates tracked since 2021).

About Sivakami Krishnan Md NPPES

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

SIVAKAMI KRISHNAN MD (NPI 1174812374) is an individual family medicine provider in Elmhurst, Illinois, licensed in Illinois (036135382) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Park, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174812374
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIVAKAMI KRISHNANCredential: MD
Location Address133 E BRUSH HILL RDElmhurst, IL 60126-5659
Mailing AddressPob 7132960Chicago, IL 60677-0001 · (630) 469-9200
Fax(630) 348-3078
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 29, 2011
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1174812374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036135382
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
133 E BRUSH HILL RD, Elmhurst, IL 60126

Secondary Practice Location 1

Location 11100 Lake St Ste 230Oak Park, IL 60301-1095 · Phone (331) 221-9001 · Fax (331) 221-2759

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sivakami Krishnan 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 ID7315166303
PECOS Enrollment IDI20140924002216
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

3

Medicare enrollment records show Sivakami Krishnan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group

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 7

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.
81 services54 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.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
14 services14 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
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 18

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

Internal Medicine
133 E BRUSH HILL RD
ELMHURST, IL 60126
Internal Medicine (Interventional Cardiology)
133 E BRUSH HILL RD, SUITE 202
ELMHURST, IL 60126
Internal Medicine (Nephrology)
133 E BRUSH HILL RD, SUITE 310
ELMHURST, IL 60126
Orthopaedic Surgery
133 E BRUSH HILL RD
ELMHURST, IL 60126
Internal Medicine (Cardiovascular Disease)
133 E BRUSH HILL RD, SUITE 202
ELMHURST, IL 60126
Nurse Practitioner (Primary Care)
133 E BRUSH HILL RD
ELMHURST, IL 60126
Family Medicine
133 E BRUSH HILL RD, SUITE 205
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD
ELMHURST, IL 60126

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 Sivakami Krishnan's NPI number?

The NPI number for Sivakami Krishnan is 1174812374. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Sivakami Krishnan located?

Sivakami Krishnan practices at 133 E Brush Hill Rd, Elmhurst, IL 60126. The listed phone number is (630) 279-8771.

What is Sivakami Krishnan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sivakami Krishnan enrolled in Medicare?

Yes. Sivakami Krishnan 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.

Which organizations bill Medicare for Sivakami Krishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sivakami Krishnan reassigns Medicare benefits to 3 organizations: Elmhurst Memorial Healthcare (Elmhurst, IL), Dupage Medical Group Ltd (Downers Grove, 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 Sivakami Krishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sivakami Krishnan was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.