Individual provider Active NPI

Nitin Kumar, MD

  • Gastroenterology Physician
  • Effingham, IL
National Provider Identifier
1104002245
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-134693 Issued in IL
Practice address
900 W Temple Ave Ste 2500
Effingham, IL 62401-2121
Phone
(217) 540-2350
Fax
(217) 347-2323
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-134693 IL
Gastroenterology Physician 207RG0100X 247910 MA
Gastroenterology Physician 207RG0100X 036-134693 IL Primary

Addresses

Primary practice location

900 W Temple Ave Ste 2500
Effingham, IL 62401-2121

Mailing address

900 W Temple Ave Ste 2500
Effingham, IL 62401-2121
Phone (217) 540-2350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkumar149546@ewd.direct.hshs.org Direct

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
I20170615000245 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 9335391564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

900 W Temple Ave
Suite 210
Effingham, IL 62401-2187
Phone (217) 347-3580

Hospital & facility affiliations

  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • HSHS Good Shepherd Hospital Inc Hospital, Shelbyville, IL, CCN 141354

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-134693ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jun 5, 2017 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Medical Group Inc Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Integrated Gastroenterology Consultants, PC Gastroenterology Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

900 W Temple Ave
Ste 106
Effingham, IL 62401
Phone (217) 347-8346

900 W Temple Ave
Ste 210
Effingham, IL 62401
Phone (217) 347-3477

900 W Temple Ave
Ste 2500
Effingham, IL 62401
Phone (217) 347-2255

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

2901 Old Jacksonville Rd
Ste B4
Springfield, IL 62704
Phone (217) 241-3586

Interoperability endpoints

  • Direct secure messaging: nkumar149546@ewd.direct.hshs.org

Organizations & group practices 4

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 3

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1104002245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-540-2350",
            "fax_number": "217-347-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-540-2350",
            "fax_number": "217-347-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NITIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-134693",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "247910",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-134693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkumar149546@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Temple Ave Ste 2500",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.