SUNIL T JOSEPH MD
NPI 1982716098
Internal Medicine - Gastroenterology in Elgin, IL

Q: What is Sunil Joseph's NPI number?

The NPI number for Sunil Joseph is 1982716098. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Sunil Joseph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Joseph was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

85.09/100

CMS Quality Rating

745 FLETCHER DR, STE 202, ELGIN, IL 60123(847) 888-1300(847) 888-1341 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Sunil T Joseph Md NPPES

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

SUNIL T JOSEPH MD (NPI 1982716098) is an individual gastroenterology provider in Elgin, Illinois, licensed in Illinois (036103939) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1998).

NPPES Registry Identity

NPI1982716098

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSUNIL T JOSEPHCredential: MD

Location Address745 FLETCHER DR, STE 202Elgin, IL 60123

Mailing Address745 Fletcher Dr, Ste 202Elgin, IL 60123 · (847) 888-1300 · Fax (847) 888-1341

Phone(847) 888-1300

Fax(847) 888-1341

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateFebruary 19, 2015

✔ NPI 1982716098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036103939

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

745 FLETCHER DR, Elgin, IL 60123

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Other Identifiers 2

Medicare UPINI11318

Medicaid036103939IL

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 T Joseph 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 ID941272520

PECOS Enrollment IDI20040812001039

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 Reassignment

Medicare enrollment records show Sunil Joseph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illinois Gastroenterology Group, LLC

Same address

Gastroenterology

745 FLETCHER DRIVE
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
235 clinicians in this Medicare group

NPI 1316277817 (847) 888-1300

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 12

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 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.

208 services181 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.

171 services105 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

116 services112 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

113 services111 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.

84 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

42 services41 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

36 services36 patients

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.

25 services24 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140217

Location77 N Airlite StreetElgin, IL 60123 · Kane County

Emergency services

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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.

85.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.16

Promoting Interoperability

Improvement Activities

Cost

77.98

Other Providers at the Same Location NPPES 18

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

DR. NICHOLAS ROBERT KUNIO M.D.

Surgery

745 FLETCHER DR
ELGIN, IL 60123

Kane County (847) 695-6600

DR. SONIA SHAILESH GODAMBE M.D.

Internal Medicine (Gastroenterology)

745 FLETCHER DR
ELGIN, IL 60123

Kane County (847) 888-1300

DR. JAMES H. GRIFFIN MD

Urology

745 FLETCHER DR, SUITE 301
ELGIN, IL 60123

Kane County (847) 741-0398

MR. RICHARD M BALEY M.D.

Internal Medicine

745 FLETCHER DR, SUITE 101
ELGIN, IL 60123

Kane County (847) 742-3525

ELGIN INTERNAL MEDICAL ASSOCIATES, S.C.

Internal Medicine

745 FLETCHER DR, SUITE 101
ELGIN, IL 60123

Kane County (847) 742-3525

JAMES G STINNEFORD MD

Internal Medicine (Gastroenterology)

745 FLETCHER DR, STE 202
ELGIN, IL 60123

Kane County (847) 888-1300

RACHEL P BAER MD

Surgery

745 FLETCHER DR, #302
ELGIN, IL 60123

Kane County (847) 695-6600

JOSEPH LOSURDO MD

Internal Medicine (Gastroenterology)

745 FLETCHER DR, STE 202
ELGIN, IL 60123

Kane County (847) 888-1300

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 Joseph's NPI number?

The NPI number for Sunil Joseph is 1982716098. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sunil Joseph located?

Sunil Joseph practices at 745 Fletcher Dr Ste 202, Elgin, IL 60123. The listed phone number is (847) 888-1300.

What is Sunil Joseph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sunil Joseph enrolled in Medicare?

Yes. Sunil Joseph 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 organization bills Medicare for Sunil Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Joseph reassigns Medicare benefits to Illinois Gastroenterology Group, LLC (Elgin, IL). The 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 Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sunil Joseph affiliated with any hospitals?

According to CMS data, Sunil Joseph is affiliated with Advocate Sherman Hospital, Northwestern Medicine Mchenry, Presence Saint Joseph Hospital - Elgin, Advocate Lutheran General Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Joseph was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.