Active NPI
Seema Kumbhat
- Surgery Physician
- Lake Zurich, IL
National Provider Identifier
1013459742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036113505
- Practice address
- 3 Corporate Dr
Lake Zurich, IL 60047-8930 - Phone
- (847) 550-5410
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036113505 | IL | Primary |
Addresses
Primary practice location
3 Corporate Dr
Lake Zurich, IL 60047-8930
Mailing address
3423 N Albany Ave
Chicago, IL 60618-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113505 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1013459742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 N ALBANY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606185601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CORPORATE DR",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600478930",
"telephone_number": "847-550-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMBHAT",
"first_name": "SEEMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036113505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.