DR. SUNIL PAUWAA M.D.
NPI 1710125109
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Oak Lawn, IL

Active since January 23, 2009PECOS EnrolledAccepts Medicare Assignment
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453(708) 636-7575 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Nov 27, 2017 (2 updates tracked since 2017).

About Dr. Sunil Pauwaa M.d. NPPES

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

DR. SUNIL PAUWAA M.D. (NPI 1710125109) is an individual advanced heart failure and transplant cardiology provider in Oak Lawn, Illinois, licensed in Illinois (036121764) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Northwestern University Feinberg Medical School (2005).

NPPES Registry Identity

NPI1710125109
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. SUNIL PAUWAACredential: M.D.
Location Address10837 S CICERO AVE STE 200Oak Lawn, IL 60453-6459
Mailing Address10837 S Cicero Ave Ste 200Oak Lawn, IL 60453-6459 · (708) 636-7575
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2005
Enumeration DateJanuary 23, 2009
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1710125109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in IL · 036121764
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036121764 (IL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036121764 (IL)
10837 S CICERO AVE STE 200, Oak Lawn, IL 60453

Other Identifiers 1

Medicaid036121764IL

Accepted 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

Dr. Sunil Pauwaa 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 ID6507054962
PECOS Enrollment IDI20101229000534
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 15

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.

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.
267 services143 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.
183 services75 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.
164 services87 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.
127 services32 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
108 services19 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
103 services80 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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 9

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
5 suppliers84 claims144 services$16.99 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
3 suppliers93 claims724 services$31.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$16.69 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
3 suppliers48 claims48 services$70.34 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier21 claims729 services$1.31 avg. paid by Medicare
Injection, treprostinil, 1 mg J3285
Treatment-Injections and Infusions (nononcologic) · category RI026N
5 suppliers84 claims13,605 services$44.45 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 20

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

Internal Medicine (Cardiovascular Disease)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Interventional Cardiology)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Interventional Cardiology)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Nurse Practitioner (Family)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Interventional Cardiology)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Interventional Cardiology)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Cardiovascular Disease)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453
Internal Medicine (Cardiovascular Disease)
10837 S CICERO AVE STE 200
OAK LAWN, IL 60453

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 Sunil Pauwaa's NPI number?

The NPI number for Sunil Pauwaa is 1710125109. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Sunil Pauwaa located?

Sunil Pauwaa practices at 10837 S Cicero Ave Ste 200, Oak Lawn, IL 60453. The listed phone number is (708) 636-7575.

What is Sunil Pauwaa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Sunil Pauwaa enrolled in Medicare?

Yes. Sunil Pauwaa 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 Sunil Pauwaa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sunil Pauwaa 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 Sunil Pauwaa affiliated with any hospitals?

According to CMS data, Sunil Pauwaa is affiliated with Advocate Sherman Hospital, Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Sunil Pauwaa 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.