Sunil Kumar
NPI 1164042016 · Internal Medicine Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Kumar is a Internal Medicine Physician provider in Peoria, IL (NPI 1164042016).
Provider details
- NPI number
- 1164042016
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- TL0008353 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,065 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 586 | $115 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 213 | $168 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 154 | $110 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 112 | $76 |
Typical Medicare-allowed amounts for these services range $76–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetronbrand: Ondansetron Odt | 86 | 85 |
| Pantoprazole Sodium | 30 | 28 |
| Spironolactone | 24 | 18 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 20 | 20 |
| Metoprolol Succinate | 18 | 17 |
| Cefdinir | 18 | 18 |
| Oxycodone Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$119 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-21
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Sunil Kumar's NPI number?
- Sunil Kumar's National Provider Identifier (NPI) is 1164042016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Kumar's specialty?
- Sunil Kumar is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Kumar located?
- Sunil Kumar's practice location on file with NPPES is 530 Ne Glen Oak Ave # Ahs, Peoria, IL 61637-0001.
- What is Sunil Kumar's phone number?
- The practice phone number listed in the NPPES registry for Sunil Kumar is (309) 655-2000.
- Does Sunil Kumar accept Medicare?
- Sunil Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Kumar's NPI active?
- Yes — Sunil Kumar's NPI (1164042016) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.