ARJUN SINHA MD
NPI 1255673935
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Chicago, IL

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611(312) 695-8630(312) 695-2857 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Jul 21, 2022, Feb 28, 2022 and 1 more (4 updates tracked since 2017).

About Arjun Sinha Md NPPES

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

ARJUN SINHA MD (NPI 1255673935) is an individual advanced heart failure and transplant cardiology provider in Chicago, Illinois, licensed in Illinois (036142855) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1255673935
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameARJUN SINHACredential: MD
Location Address675 N SAINT CLAIR ST STE 18-200Chicago, IL 60611-5929
Mailing Address675 N Saint Clair St Ste 18-200Chicago, IL 60611-5929 · (312) 695-8630 · Fax (312) 695-2857
Fax(312) 695-2857
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateJanuary 29, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
NPI 1255673935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in IL · 036142855
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036142855 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036142855 (IL)
675 N SAINT CLAIR ST STE 18-200, Chicago, IL 60611

Secondary Practice Location 1

Location 1505 Parnassus AveSan Francisco, CA 94143-2204 · Phone (916) 432-0242

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

Arjun Sinha 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 ID7719270834
PECOS Enrollment IDI20210923000015
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.

Areas of Expertise CMS Part B claims 33

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,120 services1,574 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
602 services583 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.
534 services233 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.
434 services174 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.
311 services216 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
239 services237 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Pharmacist
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Internal Medicine (Geriatric Medicine)
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611

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 Arjun Sinha's NPI number?

The NPI number for Arjun Sinha is 1255673935. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Arjun Sinha located?

Arjun Sinha practices at 675 N Saint Clair St Ste 18-200, Chicago, IL 60611. The listed phone number is (312) 695-8630.

What is Arjun Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Arjun Sinha enrolled in Medicare?

Yes. Arjun Sinha 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.

Is Arjun Sinha affiliated with any hospitals?

According to CMS data, Arjun Sinha is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital, Northwestern Memorial Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Arjun Sinha was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.