Individual provider Active NPI

Nupur Mittal, M.D.

  • Pediatric Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1003044280
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
036131173 Issued in IL
Practice address
1725 W. Harrison St Suite 710
Rush University Medical Center,
Chicago, IL 60612
Phone
(312) 942-5983
Fax
(312) 563-2519
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-131173 IL
Pediatric Hematology & Oncology Physician 2080P0207X 036131173 IL Primary

Addresses

Primary practice location

1725 W. Harrison St Suite 710
Rush University Medical Center,
Chicago, IL 60612

Mailing address

1620 W. Congress Pkwy Suite 447 Pavilion
C/O Emily Susskind, Rush University Medical Center,
Chicago, IL 60612
Phone (312) 942-7098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112000437 IL Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 2769792282 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-131173ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Oct 10, 2015 Accepting new patients
Lurie Children'S Medical Group Inc Pediatrics CurrentSince Apr 15, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Pediatrics CurrentSince Oct 10, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Rush University Medical Group Pediatrics CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

1725 W Harrison St
Ste 718
Chicago, IL 60612
Phone (312) 942-4036

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068

225 E Chicago Ave
#118
Chicago, IL 60611

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: nmittal17310@uihealth.direct-ci.com
  • Direct secure messaging: nmittal53114@direct.rush.rush-health.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1003044280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. CONGRESS PKWY SUITE 447 PAVILION",
            "address_2": "C/O EMILY SUSSKIND, RUSH UNIVERSITY MEDICAL CENTER,",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-7098",
            "fax_number": "312-942-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W. HARRISON ST SUITE 710",
            "address_2": "RUSH UNIVERSITY MEDICAL CENTER,",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5983",
            "fax_number": "312-563-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "NUPUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-131173",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IL",
            "license": "036131173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.