2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1629238746 M.D.
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SHALU GUGNANI, M.D.

Addiction Medicine (Family Medicine) Physician in ARLINGTON HEIGHTS, 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
22
Medicare Part D claims · Addiction Medicine (Family Medicine) Physician avg: 1K
MIPS score
89.6626/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$25.98
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHALU GUGNANI, M.D. is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in ARLINGTON HEIGHTS, Illinois with a Medicare Part D prescribing footprint of 22 claims . Their CMS MIPS Final Score of 89.6626/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $25.98 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHALU GUGNANI, M.D. reported a CMS MIPS final score of 89.6626 out of 100, above the 83.1 national average, and filed 22 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

SHALU GUGNANI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/12/2008

NPI 1629238746

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

22 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

89.6626/100 6.562600000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Addiction Medicine (Family Medicine) Physician share within Illinois

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

Medicare quality performance — MIPS

SHALU GUGNANI, M.D.'s 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
89.6626/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) — 89.6626/100 vs national avg 83.1

0%100%National avg83%89.7%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 89.6626/100 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).

SHALU GUGNANI, M.D. is a Addiction Medicine (Family Medicine) Physician provider practicing in ARLINGTON HEIGHTS, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1629238746. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SHALU GUGNANI, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding M.D. credentials at 901 W KIRCHHOFF RD, ARLINGTON HEIGHTS, IL, 60005, with a listed phone of (847) 618-2700. NPI 1629238746 was issued on 06/12/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUGNANI 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 22 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $284 in drug spend. 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 89.6626/100 for the 2023 performance year (Quality 79.3253), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 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

901 W KIRCHHOFF RD
ARLINGTON HEIGHTS, IL 60005

Provider Details

NPI 1629238746
Specialty Addiction Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 06/12/2008

CMS Quality Score (MIPS)

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

89.6626
Final Score
Avg: 83.1
79.3253
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 SHALU GUGNANI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

Medtronic, 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 SHALU GUGNANI, M.D.. To verify SHALU GUGNANI, M.D.'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.

Medicare Part D Prescribing Data

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

22
Total Claims
$284
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23
Total Day Supply
690
Brand Drug Cost
$0
Generic Drug Cost
$284

Patient Demographics

Average Patient Age
77.0 years
Avg HCC Risk Score
1.21

Addiction Medicine (Family Medicine) Physician Overview

How SHALU GUGNANI, M.D. fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

SHALU GUGNANI, M.D.'s 22 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Illinois

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

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHALU GUGNANI, M.D.'s specialty?
SHALU GUGNANI, M.D. specializes in Addiction Medicine (Family Medicine) Physician and practices in ARLINGTON HEIGHTS, Illinois. Credentials: M.D..
How much does SHALU GUGNANI, M.D. prescribe under Medicare Part D?
In 2023, SHALU GUGNANI, M.D. wrote 22 Medicare Part D claims totaling $284 in drug costs for N/A beneficiaries.
What is SHALU GUGNANI, M.D.'s Medicare quality score?
SHALU GUGNANI, M.D. has a CMS MIPS Final Score of 89.6626/100 (Quality: 79.3253). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHALU GUGNANI, M.D. located?
SHALU GUGNANI, M.D. is located at 901 W KIRCHHOFF RD, ARLINGTON HEIGHTS, IL, 60005. Phone: (847) 618-2700.
What is SHALU GUGNANI, M.D.'s NPI number?
SHALU GUGNANI, M.D.'s National Provider Identifier (NPI) is 1629238746, issued on 06/12/2008.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
Does SHALU GUGNANI, M.D. accept Medicare?
SHALU GUGNANI, M.D. appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHALU GUGNANI, M.D.'s credentials?
SHALU GUGNANI, M.D.'s NPI is 1629238746 with credentials M.D.. 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