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SINDHUJA MUDDAM
NPI 1912521584
Internal Medicine in Mundelein, IL

Active since May 30, 2020PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
3220 W IL ROUTE 60, MUNDELEIN, IL 60060(847) 837-8442 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, May 12, 2023, May 31, 2020 (3 updates tracked since 2020).

About Sindhuja Muddam NPPES

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

SINDHUJA MUDDAM (NPI 1912521584) is an individual internal medicine provider in Mundelein, Illinois, licensed in Illinois (036.169906) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912521584
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSINDHUJA MUDDAM
Location Address3220 W IL ROUTE 60Mundelein, IL 60060-4271
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 837-8442
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 30, 2020
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1912521584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.169906✔ Licensed in VA · 0101278440✔ Licensed in PA · MT220688
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.
3220 W IL ROUTE 60, Mundelein, IL 60060
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Secondary Practice Locations 2

Location 1501 Bath RdBristol, PA 19007-3101 · Phone (224) 434-7818
Location 2301 Riverview Ave Ste 710Norfolk, VA 23510-1065 · Phone (757) 252-9010 · Fax (757) 510-9287

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sindhuja Muddam 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 ID941624092
PECOS Enrollment IDI20240906000734
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services102 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.
108 services77 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.
41 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60060 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MRS. KAITLYN JAMIE LUNDGREN
Nurse Practitioner (Family)
3220 W IL ROUTE 60
MUNDELEIN, IL 60060
Lake County (847) 837-8442
MS. SUSAN D RODGERS MS, PA-C
Physician Assistant (Medical)
3220 W IL ROUTE 60
MUNDELEIN, IL 60060
Lake County (847) 837-8442
MRS. KRISTINE R LIRA NP
Nurse Practitioner (Family)
3220 W IL ROUTE 60
MUNDELEIN, IL 60060
Lake County (847) 549-7777

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 Sindhuja Muddam's NPI number?

The NPI number for Sindhuja Muddam is 1912521584. It was assigned to this individual provider in the NPPES registry on May 30, 2020.

Where is Sindhuja Muddam located?

Sindhuja Muddam practices at 3220 W Il Route 60, Mundelein, IL 60060. The listed phone number is (847) 837-8442.

What is Sindhuja Muddam's specialty?

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

Is Sindhuja Muddam enrolled in Medicare?

Yes. Sindhuja Muddam 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 Sindhuja Muddam accept?

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

According to CMS data, Sindhuja Muddam is affiliated with Advocate Condell Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Sindhuja Muddam was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.