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DR. PRASUNA TOOMGANTI M.D
NPI 1811061567
Internal Medicine in Chicago, IL

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
7447 W TALCOTT AVE, SUITE 216, CHICAGO, IL 60631(773) 631-0566(773) 631-4436 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prasuna Toomganti M.d NPPES

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

DR. PRASUNA TOOMGANTI M.D (NPI 1811061567) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-116432) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1811061567
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASUNA TOOMGANTICredential: M.D
Location Address7447 W TALCOTT AVE, SUITE 216Chicago, IL 60631-3745
Mailing Address7447 W Talcott Ave, Suite 216Chicago, IL 60631-3745 · (773) 631-0566 · Fax (773) 631-4436
Phone(773) 631-0566
Fax(773) 631-4436
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1811061567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-116432
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.
7447 W TALCOTT AVE, Chicago, IL 60631
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Secondary Practice Location 1

Location 12900 N Lake Shore DrChicago, IL 60657-5640 · Phone (773) 665-3323

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. Prasuna Toomganti 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 ID648354522
PECOS Enrollment IDI20080303000143
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 5

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.

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.
264 services125 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
215 services113 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
122 services114 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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.

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.

DR. JOHN B BELLO M.D.
Ophthalmology
7447 W TALCOTT AVE, SUITE 406
CHICAGO, IL 60631
Cook County (773) 775-9755
ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS
Obstetrics & Gynecology
7447 W TALCOTT AVE, SUITE 418
CHICAGO, IL 60631
Cook County (773) 775-2180
DR. ELIZABETH P DIAZ MD
Nurse Practitioner (Pediatrics)
7447 W TALCOTT AVE, SUITE 269
CHICAGO, IL 60631
Cook County (773) 792-2727
VIJAY H. VOHRA M.D.,S.C.
Internal Medicine (Cardiovascular Disease)
7447 W TALCOTT AVE, SUITE 222
CHICAGO, IL 60631
Cook County (773) 774-5245
BEATA S BEDNARSKA MD PC
Family Medicine
7447 W TALCOTT AVE, STE 308, PROFESSIONAL RESURRECTION BLD
CHICAGO, IL 60631
Cook County (773) 763-7522
KATHRYN SKOLARZ, M.D., S.C.
Family Medicine
7447 W TALCOTT AVE, SUITE 366
CHICAGO, IL 60631
Cook County (773) 594-1410
CONNER MICHAEL LAI MD
Family Medicine
7447 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5155
DR. BIRGITTA T MCGUIRE MD
Family Medicine
7447 W TALCOTT AVE, SUITE 409
CHICAGO, IL 60631
Cook County (773) 763-3808

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 Prasuna Toomganti's NPI number?

The NPI number for Prasuna Toomganti is 1811061567. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Prasuna Toomganti located?

Prasuna Toomganti practices at 7447 W Talcott Ave Suite 216, Chicago, IL 60631. The listed phone number is (773) 631-0566.

What is Prasuna Toomganti's specialty?

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

Is Prasuna Toomganti enrolled in Medicare?

Yes. Prasuna Toomganti 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.

Is Prasuna Toomganti affiliated with any hospitals?

According to CMS data, Prasuna Toomganti is affiliated with Presence Saint Joseph Hospital - Chicago and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prasuna Toomganti was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.