Kumar Damodaran Moolayil, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036058128 Issued in IL

Practice address

200 Saint Michael CT
Oak Brook, IL 60523-2556

Phone

(708) 214-9349

Fax

(630) 986-8390

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kmoolayilmd237241@uchospital.direct-ci.com

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

• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1134215569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT MICHAEL CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232556",
            "telephone_number": "708-214-9349",
            "fax_number": "630-986-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT MICHAEL CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232556",
            "telephone_number": "708-214-9349",
            "fax_number": "630-986-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLAYIL",
        "first_name": "KUMAR",
        "middle_name": "DAMODARAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-09-06",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036058128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranjani Mohan, M.D.
• Gregory Allan Mondroski, DDS
• Monte Care Group Inc
• Mary A Montgomery, DPT
• Diana Carlen Montoya
• Allison Moraga, ATR, LPC
• Arthur M Morris, MD
• Deborah Morris, LCPC
• James A Morrone, D.D.S.
• Gabriel Mortera, DPT

• Psychiatry Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.