DR. SANUP PATHAK M.D., M.B.A
NPI 1487965547
Anesthesiology in Chicago, IL
About Dr. Sanup Pathak M.d., M.b.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANUP PATHAK M.D., M.B.A (NPI 1487965547) is an individual anesthesiology provider in Chicago, Illinois, licensed in Illinois (125.058694) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
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. Sanup Pathak M.d., M.b.a 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sanup Pathak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 810 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
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 Sanup Pathak's NPI number?
The NPI number for Sanup Pathak is 1487965547. It was assigned to this individual provider in the NPPES registry on June 23, 2010.
Where is Sanup Pathak located?
Sanup Pathak practices at 1653 W Congress Pkwy Jelke 739, Chicago, IL 60612. The listed phone number is (312) 942-6504.
What is Sanup Pathak's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Sanup Pathak enrolled in Medicare?
Yes. Sanup Pathak 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 Sanup Pathak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanup Pathak reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and John Muir Trauma Physicians Billing Service (Walnut Creek, CA). 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 Sanup Pathak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sanup Pathak was last updated on December 17, 2021. 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.
# Dr. Sanup Pathak, M.D., M.B.A · NPI 1487965547
Anesthesiology physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1487965547 (Entity type: Individual)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 125.058694 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1653 W CONGRESS PKWY, JELKE 739, Chicago, IL 60612-3833
- **Phone:** (312) 942-6504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); John Muir Trauma Physicians Billing Service (NPI 1962551861, Walnut Creek, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487965547) · Data from the CMS NPPES public registry.