SANDEEP PAVULURI
NPI 1235819186
Internal Medicine in Chicago, IL

Active since July 24, 2023PECOS Enrolled
4646 N MARINE DR, CHICAGO, IL 60640(077) 356-4522 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 23, 2023, Jul 24, 2023 (2 updates tracked since 2023).

About Sandeep Pavuluri NPPES

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

SANDEEP PAVULURI (NPI 1235819186) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125.082212) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235819186
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP PAVULURI
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4646 N Marine DrChicago, IL 60640-5759 · (077) 356-4522
Sole ProprietorNo
Enumeration DateJuly 24, 2023
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1235819186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.082212
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4646 N MARINE DR, Chicago, IL 60640

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandeep Pavuluri 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 Reassignment

Medicare enrollment records show Sandeep Pavuluri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 300 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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.

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.

Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640

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 Sandeep Pavuluri's NPI number?

The NPI number for Sandeep Pavuluri is 1235819186. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Sandeep Pavuluri located?

Sandeep Pavuluri practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (077) 356-4522.

What is Sandeep Pavuluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandeep Pavuluri enrolled in Medicare?

Yes. Sandeep Pavuluri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandeep Pavuluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Pavuluri reassigns Medicare benefits to Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK). The 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 Sandeep Pavuluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Pavuluri accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Sandeep Pavuluri 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 Sandeep Pavuluri was last updated on October 23, 2023. 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.