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SUNIL DARBARI MD
NPI 1932197290
Internal Medicine - Cardiovascular Disease in Belleville, IL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
4600 MEMORIAL DR STE W1, BELLEVILLE, IL 62226(618) 233-3066 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Sep 16, 2025, Jul 2, 2025 and 2 more (5 updates tracked since 2020).

About Sunil Darbari Md NPPES

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

SUNIL DARBARI MD (NPI 1932197290) is an individual cardiovascular disease provider in Belleville, Illinois, licensed in Illinois (036.161634) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932197290
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSUNIL DARBARICredential: MD
Location Address4600 MEMORIAL DR STE W1Belleville, IL 62226-5359
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 233-3066 · Fax (618) 233-3180
Phone(618) 233-3066
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 11, 2005
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1932197290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in IL · 036.161634✔ Licensed in NV · 10673
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 10673 (NV)
4600 MEMORIAL DR STE W1, Belleville, IL 62226
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15701 W Charleston Blvd Ste 100Las Vegas, NV 89146-1256 · Phone (702) 877-9514 · Fax (702) 312-3510
Location 2133 E Brush Hill Rd Ste 202Elmhurst, IL 60126-5661 · Phone (331) 231-6200 · Fax (331) 231-6201
Location 32600 S Rainbow Blvd, #108Las Vegas, NV 89146-4006 · Phone (702) 655-1400 · Fax (702) 685-0612

Other Identifiers 1

Medicaid100500638NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

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

Sunil Darbari 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 ID3678475308
PECOS Enrollment IDI20221223000679
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

6

Medicare enrollment records show Sunil Darbari reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Heights Medical Group, Sc
25 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644
Naperville Psychiatric Ventures
242 mi
Psychiatric Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1871628362 (630) 305-5500
Edward Hospital
243 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450
Elmhurst Memorial Hospital
254 mi
General Acute Care Hospital
155 E BRUSH HILL RD
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 205 clinicians in this Medicare group
NPI 1548306343 (331) 221-1000
Rockford Health Physicians
263 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Rd Prabhu-Lata K Shete Mds Ltd
1,386 mi
Sleep Disorder Diagnostic
1905 CIVIC CENTER DRIVE, STE 201
N. Las Vegas, NV 89030
  • Reassigned Medicare billing, Nevada enrollment
  • 24 clinicians in this Medicare group
NPI 1548815616 (702) 649-3736

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 8

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.
407 services173 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.
126 services119 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.
37 services29 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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 12

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

BESSY SARAHI VILLAFRANCA-ESCOBAR PA-C
Physician Assistant
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
MRS. MEGAN J LAND FNP
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
AHMED HAMDY HUSSEIN MD
Internal Medicine (Interventional Cardiology)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
PRASAD V KANDULA M.D.
Internal Medicine (Interventional Cardiology)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
SUMIT TIWARI MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
ANNE LESLIE KRAMER NP
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (314) 448-3791
DR. MICHAEL CLAY BROWN JR. MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
DR. SULTAN A HAYAT MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066

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 Darbari's NPI number?

The NPI number for Sunil Darbari is 1932197290. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Sunil Darbari located?

Sunil Darbari practices at 4600 Memorial Dr Ste W1, Belleville, IL 62226. The listed phone number is (618) 233-3066.

What is Sunil Darbari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sunil Darbari enrolled in Medicare?

Yes. Sunil Darbari 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 Sunil Darbari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Darbari reassigns Medicare benefits to 6 organizations: Fairview Heights Medical Group, Sc (Saint Louis, MO), Naperville Psychiatric Ventures (Naperville, IL), Edward Hospital (Naperville, IL), Elmhurst Memorial Hospital (Elmhurst, IL), Rockford Health Physicians (Rockford, IL) and 1 more organization, listed in the Medicare section above. 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 Sunil Darbari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Darbari accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Sunil Darbari 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 Sunil Darbari affiliated with any hospitals?

According to CMS data, Sunil Darbari is affiliated with Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Darbari was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.