1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

ISHVEENA DUGGAL M.D.
NPI 1487943205
Internal Medicine in Chicago, IL

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST, SUITE 2200, CHICAGO, IL 60611(312) 926-6000(312) 926-5971 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ishveena Duggal M.d. NPPES

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

ISHVEENA DUGGAL M.D. (NPI 1487943205) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036135795) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with New Liberty Hospital District, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1487943205
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameISHVEENA DUGGALCredential: M.D.
Location Address259 E ERIE ST, SUITE 2200Chicago, IL 60611-2987
Mailing Address259 E Erie St Ste 2200Chicago, IL 60611-3370 · (312) 926-6000 · Fax (312) 926-5971
Phone(312) 926-6000
Fax(312) 926-5971
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2011
Enumeration DateApril 1, 2011
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1487943205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036135795
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 2024039771 (MO)
259 E ERIE ST, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 15830 NW Barry RdKansas City, MO 64154-2778 · Phone (816) 932-0340 · Fax (816) 932-3148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›

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

Ishveena Duggal M.d. 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 ID4284861618
PECOS Enrollment IDI20241130000324
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

2

Medicare enrollment records show Ishveena Duggal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Liberty Hospital Corporation
391 mi
Family Medicine
199 S MCCLEARY RD, SUITE 100
Excelsior Springs, MO 64024
  • Reassigned Medicare billing, Missouri enrollment
  • 166 clinicians in this Medicare group
NPI 1326386749 (816) 407-4700
Saint Luke's Physician Group Inc
402 mi
Infusion Therapy
600 NE ADAMS DAIRY PKWY
Blue Springs, MO 64014
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 1,339 clinicians in this Medicare group
NPI 1376257220 (816) 932-4630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay 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

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Carolyn ***** January 12, 2025

5/5
Through. Listens, has understanding, prompt. Many suggestions & most usually a simple exam of general health. Very through.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

DIANE MARIE HEIDMANN MD
Internal Medicine
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. VEHNIAH KRISTIN TJONG M.D.
Orthopaedic Surgery (Sports Medicine)
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
GRETCHEN YORK
Nurse Practitioner (Family)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (610) 212-4235
DR. TRACY B SORCE MD
Internal Medicine
259 E ERIE ST, STE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. CURT S KREVITZ DPM
Podiatrist
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
JI MIN KIM
Nurse Practitioner (Gerontology)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 695-4517

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 Ishveena Duggal's NPI number?

The NPI number for Ishveena Duggal is 1487943205. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Ishveena Duggal located?

Ishveena Duggal practices at 259 E Erie St Suite 2200, Chicago, IL 60611. The listed phone number is (312) 926-6000.

What is Ishveena Duggal's specialty?

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

Is Ishveena Duggal enrolled in Medicare?

Yes. Ishveena Duggal 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.

Which organizations bill Medicare for Ishveena Duggal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ishveena Duggal reassigns Medicare benefits to 2 organizations: New Liberty Hospital Corporation (Excelsior Springs, MO) and Saint Luke's Physician Group Inc (Blue Springs, MO). Each 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 Ishveena Duggal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ishveena Duggal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Ishveena Duggal 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 Ishveena Duggal affiliated with any hospitals?

According to CMS data, Ishveena Duggal is affiliated with New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Ishveena Duggal was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.