PRIYANKA SULTANIA DUDANI MD
NPI 1316255847
Internal Medicine in Riverside, IL

Q: What is Priyanka Sultania Dudani's NPI number?

The NPI number for Priyanka Sultania Dudani is 1316255847. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Priyanka Sultania MD.

Q: What is Priyanka Sultania Dudani's specialty?

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

Active since September 17, 2010PECOS EnrolledAccepts Medicare Assignment

3722 HARLEM AVE, RIVERSIDE, IL 60546(708) 783-6566 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Priyanka Sultania Dudani Md NPPES

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

PRIYANKA SULTANIA DUDANI MD (NPI 1316255847) is an individual internal medicine provider in Riverside, Illinois, licensed in Illinois (036.130615) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1316255847

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePRIYANKA SULTANIA DUDANICredential: MD

Location Address3722 HARLEM AVERiverside, IL 60546-2312

Mailing Address965 Ridge Lake Blvd., Suite 103Memphis, TN 38120-9401 · (901) 227-4068 · Fax (901) 227-8591

Phone(708) 783-6566

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 17, 2010

Last NPPES UpdateSeptember 23, 2022

NPPES CertifiedSeptember 23, 2022

✔ NPI 1316255847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036.130615✔ Licensed in IL · 125056088✔ Licensed in TN · 49615

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.

Also ListedHospitalistTaxonomy 208M00000X · License 49615 (TN)

3722 HARLEM AVE, Riverside, IL 60546

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Other Names 1

Former Name (1)Priyanka Sultania Md

Other Identifiers 1

Medicaid1316255847TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Priyanka Sultania Dudani 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 ID5890922678

PECOS Enrollment IDI20191216000245

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 5

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.

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.

77 services40 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.

55 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

Hospital Affiliations CMS Care Compare

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60546 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$15.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$67.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

ARIEL NICOLAS MONCAYO SAONA MD

Internal Medicine

3722 HARLEM AVE
RIVERSIDE, IL 60546

Cook County (708) 783-6566

SUTIRTHA MOHANTY MBBS

Internal Medicine

3722 HARLEM AVE
RIVERSIDE, IL 60546

Cook County (708) 783-6566

NARGES SEDIGHEN RAZAVIZADEH MD

Pediatrics

3722 HARLEM AVE, SUITE 200
RIVERSIDE, IL 60546

Cook County (708) 447-4999

ANN BUNYAN M.D

Internal Medicine

3722 HARLEM AVE, SUITE LL34
RIVERSIDE, IL 60546

Cook County (708) 783-6566

PREMSAI CHILAKULURI

Internal Medicine

3722 HARLEM AVE
RIVERSIDE, IL 60546

Cook County (708) 783-6566

VHS OF ILLINOIS INC

Clinic/Center (Radiology)

3722 HARLEM AVE, SUITE LL20
RIVERSIDE, IL 60546

Cook County (708) 783-0602

BHS DIGESTIVE DISEASE ASSOCIATES

Internal Medicine (Gastroenterology)

3722 HARLEM AVE, SUITE 102
RIVERSIDE, IL 60546

Cook County (708) 783-7000

DR. YONATAN ABBAWA ZEWDIE MD

Internal Medicine

3722 HARLEM AVE
RIVERSIDE, IL 60546

Cook County (708) 783-6566

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 Priyanka Sultania Dudani's NPI number?

The NPI number for Priyanka Sultania Dudani is 1316255847. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Priyanka Sultania MD.

Where is Priyanka Sultania Dudani located?

Priyanka Sultania Dudani practices at 3722 Harlem Ave, Riverside, IL 60546. The listed phone number is (708) 783-6566.

What is Priyanka Sultania Dudani's specialty?

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

Is Priyanka Sultania Dudani enrolled in Medicare?

Yes. Priyanka Sultania Dudani 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.

What insurance does Priyanka Sultania Dudani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Priyanka Sultania Dudani 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.

Is Priyanka Sultania Dudani affiliated with any hospitals?

According to CMS data, Priyanka Sultania Dudani is affiliated with Macneal Hospital.

When was this NPI record last updated?

The NPPES record for Priyanka Sultania Dudani was last updated on September 23, 2022. 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.