2026 NPPES data Internal Medicine Physician NPI 1366471898
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Premalatha Nandkumar

Internal Medicine Physician in Elk Grove Vlg, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 308 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
6.9/100
▼ 76 pts below national avg 83.1 · [object Object]
Industry payments
$864.97
51 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Premalatha Nandkumar reported a CMS MIPS final score of 6.9/100 — below the 83.1 national average — and filed 4,365 Medicare Part D claims in 2023.

6.9/100
MIPS score · -76 vs avg
4K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Premalatha Nandkumar's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

7 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

Premalatha Nandkumar practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Premalatha Nandkumar?

Below national average

NPI registry status

Active

Issued 06/30/2006

NPI 1366471898

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,365 61% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

6.9/100 76.2 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Illinois

How Internal Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Internal Medicine Physician share within Illinois

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Illinois

Medicare quality performance — MIPS

Premalatha Nandkumar's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
6.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 6.9/100 vs national avg 83.1

0%100%National avg83%6.9%
MIPS final score (Internal Medicine Physician) — 6.9/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Premalatha Nandkumar appears in the CMS NPPES registry as a Internal Medicine Physician provider at 810 BIESTERFIELD RD, Elk Grove Vlg, IL, 60007, with a listed phone of (847) 981-8856. NPI 1366471898 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Nandkumar most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,365 prescription claims written by this provider, covering 308 Medicare beneficiaries and totaling roughly $383K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 6.9/100 for the 2023 performance year (Quality 0, Cost 22.9), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

810 BIESTERFIELD RD
Elk Grove Vlg, IL 60007

Provider Details

NPI 1366471898
Specialty Internal Medicine Physician
Gender Female
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

6.858
Final Score
Avg: 83.1
0
Quality
22.86
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Premalatha Nandkumar bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Elk Grove Internists PC
Elk Grove Village, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Premalatha Nandkumar. Source: openpaymentsdata.cms.gov.

Total received

$865

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to Premalatha Nandkumar. To verify Premalatha Nandkumar's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Premalatha Nandkumar — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,365 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,365
Total Claims
$383K
Total Drug Cost
308
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,509
Total Day Supply
307,108
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$310K
Generic Drug Cost
$71K
Opioid Claims
112 (2.6% rate)
Antibiotic Claims
182

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
0.80
Gender Split
72% female / 28% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Premalatha Nandkumar prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
307
Amlodipine Besylate
257
Atorvastatin Calcium
217
Metformin Hcl
127
Rosuvastatin Calcium
116
Losartan-Hydrochlorothiazide
Losartan/Hydrochlorothiazide
110
Losartan Potassium
86
Zolpidem Tartrate
86
Metoprolol Succinate
77
Olmesartan-Hydrochlorothiazide
Olmesartan/Hydrochlorothiazide
71

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Premalatha Nandkumar fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Premalatha Nandkumar's 4,365 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Nandkumar.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Premalatha Nandkumar's specialty?
Premalatha Nandkumar specializes in Internal Medicine Physician and practices in Elk Grove Vlg, Illinois.
How much does Premalatha Nandkumar prescribe under Medicare Part D?
In 2023, Premalatha Nandkumar wrote 4,365 Medicare Part D claims totaling $383K in drug costs for 308 beneficiaries.
What is Premalatha Nandkumar's Medicare quality score?
Premalatha Nandkumar has a CMS MIPS Final Score of 6.9/100 (Quality: 0, Cost: 22.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Premalatha Nandkumar located?
Premalatha Nandkumar is located at 810 BIESTERFIELD RD, Elk Grove Vlg, IL, 60007. Phone: (847) 981-8856.
What is Premalatha Nandkumar's NPI number?
Premalatha Nandkumar's National Provider Identifier (NPI) is 1366471898, issued on 06/30/2006.
Does Premalatha Nandkumar prescribe more brand-name or generic drugs?
Premalatha Nandkumar's prescribing is 13% brand-name and 87% generic drugs by claim count, with $310K in brand drug costs.
Does Premalatha Nandkumar prescribe opioids?
Yes, Premalatha Nandkumar had 112 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Premalatha Nandkumar prescribe most often?
Based on 2023 Medicare Part D data, Premalatha Nandkumar's most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Premalatha Nandkumar accept Medicare?
Premalatha Nandkumar appears in CMS Medicare data with 4,365 Part D claims and 308 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Premalatha Nandkumar's credentials?
Premalatha Nandkumar's NPI is 1366471898. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology