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PRAVEEN SUNKARA M.D.
NPI 1841438967
Internal Medicine in Melrose Park, IL

Active since January 27, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1225 W LAKE ST, MELROSE PARK, IL 60160(708) 344-2161 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Praveen Sunkara M.d. NPPES

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

PRAVEEN SUNKARA M.D. (NPI 1841438967) is an individual internal medicine provider in Melrose Park, Illinois, licensed in Illinois (125052123) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1841438967
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAVEEN SUNKARACredential: M.D.
Location Address1225 W LAKE STMelrose Park, IL 60160-4039
Mailing Address36123 Schoolcraft RdLivonia, MI 48150-1216 · (734) 464-0887
Phone(708) 344-2161
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 27, 2009
Last NPPES UpdateOctober 23, 2017
✔ NPI 1841438967 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 · 125052123
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.
1225 W LAKE ST, Melrose Park, IL 60160
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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

Praveen Sunkara 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 ID7517009335
PECOS Enrollment IDI20100116000170
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 Praveen Sunkara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Consultants Of Illinois, P.C.
6.3 mi
Hospitalist
15 SALT CREEK LN, SUITE 111
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
NPI 1548442569 (630) 371-0133
24 On Physicians, PC
63 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247

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

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 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.
655 services207 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.
191 services108 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.
180 services167 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.
156 services141 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.
35 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost94.69

Reported Quality Measures

Advance Care Plan
100%379 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%427 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims25 services$14.46 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
1 supplier26 claims26 services$61.48 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.

DR. SAMREEN MATTOO M.D.
Internal Medicine
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (708) 938-7350
VALERIE D MCKENNA M.D.
Emergency Medicine
1225 W LAKE ST, WESTLAKE HOSPITAL / EMERGENCY DEPARTMENT
MELROSE PARK, IL 60160
Cook County (708) 681-3000
JANET TWEED PT
Physical Therapist
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (708) 681-3000
SARAH BENNING MS, OTR/L
Occupational Therapist
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (708) 681-3000
WESTLAKE COMMUNITY HOSPITAL
Psychiatric Unit
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (708) 938-7040
JOANNE ZADRA HEYER
Speech-Language Pathologist
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (773) 502-3238
RICHARD D. SHIN, M.D., S.C.
Surgery (Surgery of the Hand)
1225 W LAKE ST
MELROSE PARK, IL 60160
Cook County (708) 938-7580
TAMARA RENDULIC M.D.
Anesthesiology
1225 W LAKE ST, WESTLAKE HOSPITAL / ANESTHESIA DEPARTMENT
MELROSE PARK, IL 60160
Cook County (708) 681-3000

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 Praveen Sunkara's NPI number?

The NPI number for Praveen Sunkara is 1841438967. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Where is Praveen Sunkara located?

Praveen Sunkara practices at 1225 W Lake St, Melrose Park, IL 60160. The listed phone number is (708) 344-2161.

What is Praveen Sunkara's specialty?

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

Is Praveen Sunkara enrolled in Medicare?

Yes. Praveen Sunkara 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 Praveen Sunkara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Sunkara reassigns Medicare benefits to 2 organizations: Inpatient Consultants Of Illinois, P.C. (Hinsdale, IL) and 24 On Physicians, PC (Ottawa, IL). 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 Praveen Sunkara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Praveen Sunkara affiliated with any hospitals?

According to CMS data, Praveen Sunkara is affiliated with Presence Saint Joseph Medical Center, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Praveen Sunkara was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.