Individual provider Active NPI

Kunwarjit Singh Duggal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dyer, IN
National Provider Identifier
1053549170
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125-057117 Issued in IL
Practice address
601 Sheffield Ave
Dyer, IN 46311-1167
Phone
(219) 322-2273
Fax
(219) 322-9212
NPI assigned
Jun 26, 2009
Last updated
Oct 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125-057117 IL Primary

Addresses

Primary practice location

601 Sheffield Ave
Dyer, IN 46311-1167

Mailing address

401 N Michigan Avenue
Suite 1200
Chicago, IL 60611-4264
Phone (312) 635-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130723000849 IL Practitioner - Physical Medicine and Rehabilitation 5991946634 Reassigns benefits to 1 organization
I20151001000333 IN Practitioner - Physical Medicine and Rehabilitation 5991946634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

4437 S Cicero Ave
Chicago, IL 60632-4333
Phone (773) 884-0484

601 Sheffield Ave
Dyer, IN 46311-1167
Phone (219) 322-2273

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-057117ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2015 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2015 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

255 W 69th St
Chicago, IL 60621
Phone (773) 224-5900

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

4437 S Cicero Ave
Chicago, IL 60632
Phone (773) 284-1421

253 Bradington Dr
Columbia, IL 62236
Phone (618) 218-6800

14325 Blackstone Ave
Dolton, IL 60419
Phone (708) 849-5000

1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550

19330 S Cottage Grove Ave
Glenwood, IL 60425
Phone (708) 758-6200

3077 W Jefferson St
Ste 101
Joliet, IL 60435
Phone (779) 545-2270

10501 Emilie Ln
Orland Park, IL 60467
Phone (708) 226-1800

11860 Southwest Hwy
Palos Heights, IL 60463
Phone (630) 286-4000

16300 Wausau Ave
South Holland, IL 60473
Phone (708) 596-5500

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

8380 Virginia St
Merrillville, IN 46410
Phone (219) 769-9009

7935 Calumet Ave
Munster, IN 46321
Phone (219) 836-8300

2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778

6685 E 117th Ave
Winfield, IN 46307
Phone (219) 662-0642

Organizations & group practices 2

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

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": "1446076800000",
    "number": "1053549170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVENUE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "312-635-0973",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111167",
            "telephone_number": "219-322-2273",
            "fax_number": "219-322-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "KUNWARJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125-057117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.