Kumud Nigam, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Practice address

6957 Olde Creek Rd
Suite #3400
Rockford, IL 61114-7416

Phone

(815) 397-6276

Fax

(815) 397-2266

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kumud Srivastava Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orthopedic, Sports & Rehabilitation Center, LTD.

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1023218260

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1073610051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 OLDE CREEK RD",
            "address_2": "SUITE #3400",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147416",
            "telephone_number": "815-397-6276",
            "fax_number": "815-397-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 OLDE CREEK RD",
            "address_2": "SUITE #3400",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147416",
            "telephone_number": "815-397-6276",
            "fax_number": "815-397-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGAM",
        "first_name": "KUMUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010100540",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "20027734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUMUD",
            "last_name": "SRIVASTAVA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna M Niemiec, MD
• Sandra S Nienaber
• Vanessa Nienhouse, M.D.
• Kathleen M Niesen Zucchi, LCSW
• Jose L Nieves, OPTICAL
• Nissi Corp (The Good Feet Store)
• Kenneth Richard Nissim, M.D.
• Jerica Nitz, MS, ACSM-RCEP
• Stephen T Nitz, M.D.
• Marta Njos

• Physical Medicine & Rehabilitation Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.