Individual provider Active NPI

Kirthika Vijayakumar, D.O.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1093241176
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.165703 Issued in IL
Practice address
1460 N Halsted St Ste 401
Chicago, IL 60642-2607
Phone
(773) 296-3300
Fax
(773) 880-1279
NPI assigned
May 10, 2017
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 02006405A IN
Obstetrics & Gynecology Physician 207V00000X 036.165703 IL Primary

Addresses

Primary practice location

1460 N Halsted St Ste 401
Chicago, IL 60642-2607

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

9800 Valparaiso Dr
Munster, IN 46321-4040
Phone (219) 934-9818

Other practice location 2

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kvijayakumar586669@Direct.FranciscanAlliance.org Direct
Direct Messaging Address kvijayakumar215722@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
I20230717001067 IL Practitioner - Obstetrics/Gynecology 8921379496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1460 N Halsted St
401 Adv Med GRP Halsted and Blackhawk
Chicago, IL 60642-2607
Phone (773) 880-0320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.165703ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jul 3, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 3, 2023 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1435 W Webster Ave
Chicago, IL 60614
Phone (773) 356-7733

1460 N Halsted St
Ste 401
Chicago, IL 60642
Phone (773) 296-3300

29373 Network Pl
Chicago, IL 60673

3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

Interoperability endpoints

  • Direct secure messaging: kvijayakumar215722@direct.myadvocateaurora.org
  • Direct secure messaging: kvijayakumar586669@direct.franciscanalliance.org

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.

Hospital & facility affiliations 1

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1093241176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422607",
            "telephone_number": "773-296-3300",
            "fax_number": "773-880-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Valparaiso Dr",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214040",
            "country_code": "US",
            "telephone_number": "219-934-9818",
            "fax_number": "219-934-9815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3134 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574414",
            "country_code": "US",
            "telephone_number": "773-296-5420",
            "fax_number": "312-766-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIJAYAKUMAR",
        "first_name": "KIRTHIKA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02006405A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.165703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvijayakumar586669@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9800 Valparaiso Dr",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463214040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvijayakumar215722@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1460 N Halsted St Ste 401",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606422607",
            "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": "1460 N Halsted St Ste 401",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606422607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.