Active NPI 1861762593 Individual Practitioner Male Practitioner

Dr. Sunil Kumar Siddegowda Thaghalli , MD

Internal Medicine • Melrose Park, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sunil Kumar Thaghalli, MD is a certified Internal Medicine practicing in Melrose Park, IL. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Thaghalli delivers high-quality medical care to the local community at 1111 SUPERIOR ST.

Dr. Thaghalli is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Superior St
Suite 101

Melrose Park, IL 601604138

Telephone 7083442161

Associated Practice Facility / Clinic

🏢 Behrooz Eshaghy, Md, Sc Facility NPI 1619942307

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Melrose Park, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +1.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Melrose Park, IL (7544 Statewide)

Telehealth Adoption Rate

8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thaghalli (32 Years) 32 Yrs

Melrose Park Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	260	240	$663.00	$170.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	33	$345.00	$116.37
99291 Critical care, first 30-74 minutes	40	40	$920.00	$207.75
99239 Hospital discharge day management, more than 30 minutes	36	36	$356.00	$112.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	23	$238.00	$77.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$450.00	$128.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	97	$663.00	$173.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	59	$238.00	$79.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	65	$345.00	$119.07
99239 Hospital discharge day management, more than 30 minutes	65	64	$356.00	$114.99
99291 Critical care, first 30-74 minutes	25	23	$902.00	$211.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$450.00	$129.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	177	86	$381.09	$72.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	86	$572.81	$103.73
99239 Hospital discharge day management, more than 30 minutes	91	84	$579.67	$107.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	75	$922.23	$199.84
99291 Critical care, first 30-74 minutes	11	11	$1307.40	$219.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	144	141	$1439.50	$203.61
99497 Advance care planning, first 30 minutes	128	128	$562.59	$79.99
99291 Critical care, first 30-74 minutes	65	64	$1587.72	$222.57
99220 Hospital observation care, typically 70 minutes	39	37	$1318.91	$184.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	23	$741.10	$105.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$512.49	$73.08
99239 Hospital discharge day management, more than 30 minutes	26	26	$763.71	$108.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	196	186	$562.59	$81.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	172	167	$1439.50	$207.85
99220 Hospital observation care, typically 70 minutes	60	58	$1318.91	$189.79
99291 Critical care, first 30-74 minutes	52	51	$1587.72	$225.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$741.10	$106.81
99239 Hospital discharge day management, more than 30 minutes	21	21	$763.71	$110.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$512.49	$74.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	231	218	$455.89	$80.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	182	174	$1439.50	$205.23
99220 Hospital observation care, typically 70 minutes	65	63	$1318.91	$188.37
99291 Critical care, first 30-74 minutes	61	53	$1587.72	$224.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	25	$741.10	$105.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	24	$512.49	$73.82
99239 Hospital discharge day management, more than 30 minutes	11	11	$763.71	$103.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	176	172	$194.70	$80.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	142	$1439.50	$204.57
99220 Hospital observation care, typically 70 minutes	60	57	$1318.91	$189.15
99291 Critical care, first 30-74 minutes	55	54	$1587.72	$224.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$512.49	$73.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$741.10	$105.87
99239 Hospital discharge day management, more than 30 minutes	12	12	$763.71	$110.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	173	$1433.49	$206.04
99497 Advance care planning, first 30 minutes	150	144	$383.21	$78.29
99291 Critical care, first 30-74 minutes	97	84	$1582.38	$225.62
99220 Hospital observation care, typically 70 minutes	46	46	$1311.29	$189.15
99239 Hospital discharge day management, more than 30 minutes	35	35	$758.65	$110.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	30	$735.40	$106.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	29	$509.50	$73.54

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125057286

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.

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

100 Mission Blvd, Jackson, CA 956422536

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Sutter Valley Medical Foundation

200 Mission Blvd, Jackson, CA 956422564

Phone: 9167333777

Sutter Valley Medical Foundation

815 Court St, Jackson, CA 956422154

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Anupa Rai , MD

Hospitalist

NPI 1023388642

Doctor of Medicine (M.D.)

Dr. Michelle Kassen , MD, MPH

Internal Medicine

NPI 1366422321

Doctor of Medicine (M.D.), Master of Public Health

Dr. Mandana Faghani , MD

Internal Medicine

NPI 1558667170

Doctor of Medicine (M.D.)

Dr. Phanivardhan Babireddy , MD

Internal Medicine

NPI 1598067522

Doctor of Medicine (M.D.)

Dr. Alpa Garg , MD

Internal Medicine

NPI 1750658084

Doctor of Medicine (M.D.)

Dr. Praveen Sunkara , MD

Internal Medicine

NPI 1841438967

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2012

Registered at 1111 SUPERIOR ST, SUITE 101, MELROSE PARK, IL 601604138 (Tel: 7083442161)

📍

Updated Business Mailing Address January 11, 2012

Registered at 1111 SUPERIOR ST, SUITE 101, MELROSE PARK, IL 601604138 (Tel: 7083442161)

👤

Provider Name / Credentials Updated January 11, 2012

Recorded as SUNIL KUMAR THAGHALLI, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Internal Medicine (License #125057286 in IL)

🟢

Initial NPI Registration & Enumeration January 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861762593

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 11, 2012

Last Update: January 11, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1111 Superior St, Suite 101

Melrose Park, IL 601604138

Phone: 7083442161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.