SUNDAR SIVAPRAKASAM MD
NPI 1720063530
Internal Medicine - Critical Care Medicine in Chicago, IL

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
85.36/100
CMS Quality Rating
2701 W 68TH ST, CHICAGO, IL 60629(773) 884-7920 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sundar Sivaprakasam Md NPPES

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

SUNDAR SIVAPRAKASAM MD (NPI 1720063530) is an individual critical care medicine provider in Chicago, Illinois, licensed in Illinois (036052320) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1720063530
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSUNDAR SIVAPRAKASAMCredential: MD
Location Address2701 W 68TH STChicago, IL 60629-1813
Mailing Address1296 Woburn DrLemont, IL 60439-8933 · (773) 884-7920
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateDecember 14, 2005
Last NPPES UpdateApril 21, 2009
NPI 1720063530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IL · 036052320
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2701 W 68TH ST, Chicago, IL 60629

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

Sundar Sivaprakasam 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 ID4587673132
PECOS Enrollment IDI20060412000107
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 18

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
740 services142 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
554 services46 patients
Education and training to self measure blood pressure 99473
Education and training to self-measure blood pressure involves teaching you how to use a home blood pressure monitor correctly. You'll learn how to position the cuff, when and how often to take readings, and how to interpret and record the results. This empowers you to manage your health.
383 services117 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
356 services119 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
277 services46 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
201 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 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.

85.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.28
Improvement Activities40
Cost18.82

Reported Quality Measures

Controlling High Blood Pressure
90%125 patients4/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%35 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%527 patients5/55-star benchmark: 100%
Falls: Plan of Care
100%86 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%175 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%188 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
2701 W 68TH ST
CHICAGO, IL 60629
Emergency Medicine
2701 W 68TH ST
CHICAGO, IL 60629
Internal Medicine
2701 W 68TH ST
CHICAGO, IL 60629
Registered Nurse (Diabetes Educator)
2701 W 68TH ST, RM.S 409
CHICAGO, IL 60629
Social Worker (Clinical)
2701 W 68TH ST
CHICAGO, IL 60629
Nurse Practitioner (Adult Health)
2701 W 68TH ST
CHICAGO, IL 60629
Obstetrics & Gynecology
2701 W 68TH ST
CHICAGO, IL 60629
Clinic/Center (Rehabilitation, Substance Use Disorder)
2701 W 68TH ST
CHICAGO, IL 60629

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 Sundar Sivaprakasam's NPI number?

The NPI number for Sundar Sivaprakasam is 1720063530. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Sundar Sivaprakasam located?

Sundar Sivaprakasam practices at 2701 W 68th St, Chicago, IL 60629. The listed phone number is (773) 884-7920.

What is Sundar Sivaprakasam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sundar Sivaprakasam enrolled in Medicare?

Yes. Sundar Sivaprakasam 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 Sundar Sivaprakasam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sundar Sivaprakasam 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.

When was this NPI record last updated?

The NPPES record for Sundar Sivaprakasam was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.