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SUNIL KUMAR SIDDEGOWDA THAGHALLI M.D
NPI 1861762593
Internal Medicine in Melrose Park, IL

Active since January 11, 2012PECOS EnrolledAccepts Medicare Assignment
1111 SUPERIOR ST, SUITE 101, MELROSE PARK, IL 60160(708) 344-2161 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunil Kumar Siddegowda Thaghalli M.d NPPES

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

SUNIL KUMAR SIDDEGOWDA THAGHALLI M.D (NPI 1861762593) is an individual internal medicine provider in Melrose Park, Illinois, licensed in Illinois (125057286) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1861762593
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNIL KUMAR SIDDEGOWDA THAGHALLICredential: M.D
Location Address1111 SUPERIOR ST, SUITE 101Melrose Park, IL 60160-4138
Mailing Address1111 Superior St, Suite 101Melrose Park, IL 60160-4138 · (708) 344-2161
Phone(708) 344-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 11, 2012
✔ NPI 1861762593 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 · 125057286
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.
1111 SUPERIOR ST, Melrose Park, IL 60160
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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

Sunil Kumar Siddegowda Thaghalli 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 ID941443402
PECOS Enrollment IDI20130830000712
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 6

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.

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.
260 services240 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.
50 services33 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.
40 services40 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.
36 services36 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.
34 services23 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.
20 services20 patients

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%170 patients4/55-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 3

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
2 suppliers42 claims42 services$20.05 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.27 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 suppliers51 claims51 services$110.31 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.

MS. JOYCE ANTOINETTE WESTFALL OTR/L, CHT
Occupational Therapist (Hand)
1111 SUPERIOR ST, LL, OUTPATIENT OCCUPATIONAL THERAPY
MELROSE PARK, IL 60160
Cook County (708) 938-7756
ANUPA RAI MD
Hospitalist
1111 SUPERIOR ST, SUITE 101
MELROSE PARK, IL 60160
Cook County (708) 344-2161
NICHOLAS G RECCHIA M.D.
Family Medicine
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (708) 786-7100
DR. NABIL SALEH M.D.
Pediatrics
1111 SUPERIOR ST, STE 412
MELROSE PARK, IL 60160
Cook County (708) 450-0112
NGR LLC
Clinic/Center (Primary Care)
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (708) 786-7100
RESURRECTION HEALTH CARE
Clinic/Center (Urgent Care)
1111 SUPERIOR ST, #207
MELROSE PARK, IL 60160
Cook County (708) 938-7580
MELROSE PARK WOMEN'S CARE, S.C.
Obstetrics & Gynecology
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (847) 839-8800
JOHN N KIRIKLAKIS, MD PC
Internal Medicine
1111 SUPERIOR ST, SUITE 408
MELROSE PARK, IL 60160
Cook County (708) 345-2035

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 Kumar Thaghalli's NPI number?

The NPI number for Sunil Kumar Thaghalli is 1861762593. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Sunil Kumar Thaghalli located?

Sunil Kumar Thaghalli practices at 1111 Superior St Suite 101, Melrose Park, IL 60160. The listed phone number is (708) 344-2161.

What is Sunil Kumar Thaghalli's specialty?

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

Is Sunil Kumar Thaghalli enrolled in Medicare?

Yes. Sunil Kumar Thaghalli 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.

When was this NPI record last updated?

The NPPES record for Sunil Kumar Thaghalli was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.