DR. GITANJALI SIVASUBRAMANIAM M.D.
NPI 1326334103
Family Medicine in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since June 21, 2011PECOS Enrolled

5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785(773) 836-7381 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Gitanjali Sivasubramaniam M.d. NPPES

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

DR. GITANJALI SIVASUBRAMANIAM M.D. (NPI 1326334103) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036134988) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326334103

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GITANJALI SIVASUBRAMANIAMCredential: M.D.

Location Address5359 W FULLERTON AVEChicago, IL 60639-1450

Mailing Address5359 W Fullerton AveChicago, IL 60639-1450 · (773) 836-2785 · Fax (773) 836-7381

Phone(773) 836-2785

Fax(773) 836-7381

Sole ProprietorNo

Enumeration DateJune 21, 2011

Last NPPES UpdateDecember 27, 2019

✔ NPI 1326334103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036134988✔ Licensed in IL · 125060230

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.

5359 W FULLERTON AVE, Chicago, IL 60639

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gitanjali Sivasubramaniam M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.