SANDEEP CHUNDURI MD – NPI #1174740435
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

SANDEEP CHUNDURI is a physician located in CRYSTAL LAKE, IL. NPPES has assigned the NPI number 1174740435 to SANDEEP CHUNDURI on April 19, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 4 years ago on Dec 16, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANDEEP CHUNDURI below.

NPI Profile for
SANDEEP CHUNDURI

NPI Number
1174740435
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SANDEEP CHUNDURI
Credentials
MD
Primary location
525 E CONGRESS PKWY
SUITE 300
CRYSTAL LAKE, IL 60014-6245
Phone: (815) 759-9260 Fax: (815) 459-7460
Mailing address
525 E CONGRESS PKWY STE 300
CRYSTAL LAKE, IL 60014-6258
Phone: (815) 759-9260 Fax: (815) 459-7840
Sole Proprietor
No
Updated
Certification Date
Dec 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SANDEEP CHUNDURI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP NPI NUMBERIL1275843476
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 IL 36110541

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
525 E CONGRESS PKWY,
CRYSTAL LAKE, IL 77025-1669
Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
525 E CONGRESS PKWY,
CRYSTAL LAKE, IL 77025-1669

Additional Information

Education
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE - Graduated 2001
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SANDEEP CHUNDURI is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE CONDELL MEDICAL CENTER
      801 S MILWAUKEE AVE
      LIBERTYVILLE, IL 60048
    • ADVOCATE GOOD SHEPHERD HOSPITAL
      450 WEST HIGHWAY 22
      BARRINGTON, IL 60010
    • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
      836 WEST WELLINGTON AVENUE
      CHICAGO, IL 60657
    • ADVOCATE LUTHERAN GENERAL HOSPITAL
      1775 DEMPSTER ST
      PARK RIDGE, IL 60068
    • NORTHWESTERN MEDICINE MCHENRY
      4201 MEDICAL CENTER DRIVE
      MCHENRY, IL 60050
  • HOME HEALTH AGENCY
    • ADVOCATE HOME HEALTH CARE SERV
      2000 SPRINGER DRIVE
      LOMBARD, IL 60148

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.