Individual provider Active NPI

Kunal Kochar, MD

  • Colon & Rectal Surgery Physician
  • Park Ridge, IL
National Provider Identifier
1063724664
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
036130751 Issued in IL
Practice address
1550 N Northwest Hwy Ste 107
Park Ridge, IL 60068-1458
Phone
(847) 759-1110
Fax
(847) 759-8273
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125058535 IL
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 036130751 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy Ste 107
Park Ridge, IL 60068-1458

Mailing address

1550 N Northwest Hwy
Ste 107
Park Ridge, IL 60068-1458
Phone (847) 759-1110

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkochar251100@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20160819002226 IL Practitioner - Colorectal Surgery (Proctology) 6103123542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LM Prasad M.D S.CGroup PAC ID 3375532575, 3 clinicians

Practice addresses (Care Compare)

1550 N Northwest Hwy
Suite 107
Park Ridge, IL 60068-1458
Phone (847) 759-1110

Hospital & facility affiliations

  • Avotre Home Health Inc Home health agency, Des Plaines, IL, CCN 148382
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
90.43
Improvement activities
40
Cost
76.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058535ILMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: kkochar251100@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAACBA/Endpoint/BAACBA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1063724664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "STE 107",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681458",
            "telephone_number": "847-759-1110",
            "fax_number": "847-759-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 107",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681458",
            "telephone_number": "847-759-1110",
            "fax_number": "847-759-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAR",
        "first_name": "KUNAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125058535",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "036130751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkochar251100@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 N Northwest Hwy Ste 107",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1550 N Northwest Hwy Ste 107",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.