DR. SUNEEL KUMAR MD, FACC
NPI 1275816654
Internal Medicine - Interventional Cardiology in Urbana, IL

Q: What is Suneel Kumar's NPI number?

The NPI number for Suneel Kumar is 1275816654. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Q: What is Suneel Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Suneel Kumar was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 22, 2011PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2022, Sep 8, 2020, Aug 27, 2020 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Suneel Kumar Md, Facc NPPES

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

DR. SUNEEL KUMAR MD, FACC (NPI 1275816654) is an individual interventional cardiology provider in Urbana, Illinois, licensed in California (A143266) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Un Of California, Riverside, School Of Medicine (2019).

NPPES Registry Identity

NPI1275816654

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. SUNEEL KUMARCredential: MD, FACC

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park StUrbana, IL 61801-2529 · (217) 383-3311

Phone(217) 383-3311

Sole ProprietorYes

Medical School CMSUn Of California, Riverside, School Of MedicineGraduated 2019

Enumeration DateSeptember 22, 2011

Last NPPES UpdateOctober 28, 20227 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1275816654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in CA · A143266

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License A143266 (CA)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A143266 (CA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License A143266 (CA)

611 W PARK ST, Urbana, IL 61801

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Suneel Kumar Md, Facc 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 ID7416175989

PECOS Enrollment IDI20221215001119

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

Medicare enrollment records show Suneel Kumar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group

0.7 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Kirby Medical Center

18 mi

Land Transport

1000 MEDICAL CENTER DR
Monticello, IL 61856

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1386635373 (Illinois)
118 clinicians in this Medicare group

NPI 1598869133 (217) 762-2115

Hoopeston Community Memorial Hospital

37 mi

Rural Health

801 E ORANGE ST
Hoopeston, IL 60942

Reassigned Medicare billing, Illinois enrollment
488 clinicians in this Medicare group

NPI 1578504544 (214) 283-5644

Richland Memorial Hospital, Inc.

95 mi

Rural Health

1200 N EAST ST
Olney, IL 62450

Reassigned Medicare billing, Illinois enrollment
301 clinicians in this Medicare group

NPI 1053792689 (618) 392-2940

Inpatient Specialists Of California, PC

1,648 mi

Internal Medicine

2101 N WATERMAN AVE
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
1,216 clinicians in this Medicare group

NPI 1952792475 (615) 377-5658

Chaparral Medical Group, Inc.

1,649 mi

Neurological Surgery

401 E HIGHLAND AVE, SUITE 553
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
Also billed through NPI 1639869605 (California)
99 clinicians in this Medicare group

NPI 1194993055 (909) 881-6713

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 18

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.

905 services769 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

146 services133 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

76 services75 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

72 services72 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.

51 services46 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

45 services36 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

40 services38 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

33 services31 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

32 services32 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.

24 services23 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

24 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

23 services20 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services19 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel 93572

This procedure involves using ultrasound to examine additional heart blood vessels during diagnosis or treatment. It helps doctors visualize the structure and function of your heart, ensuring precise evaluation and care.

15 services12 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel 92941

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

12 services12 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140093

Location812 N Logan AveDanville, IL 61832 · Vermilion County

Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141301

Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County

Emergency services

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141316

Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County

Emergency services

Paris Community Hospital

Critical Access Hospitals · Paris, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141320

Location721 E Court StreetParis, IL 61944 · Edgar County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology