Vijay Kumar, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036061023 Issued in IL

Practice address

303 E Army Trail Rd
Suite 405
Bloomingdale, IL 60108-2169

Phone

(630) 307-0100

Fax

(630) 307-0111

NPI assigned

Jul 26, 2006

Last updated

Nov 17, 2014By the provider in NPPES

Sex

Male

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 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventist Bolingbrook Hospital

  dba Adventhealth Bolingbrook

  • Cardiovascular Disease Physician
  • Bolingbrook, IL
  • NPI 1477790160
  Medicare reassignment NPD
• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • Cardiovascular Disease Physician
  • Glendale Heights, IL
  • NPI 1184630576
  Medicare reassignment NPD
• Adventist Midwest Health

  dba Adventhealth Hinsdale

  • Cardiovascular Disease Physician
  • Hinsdale, IL
  • NPI 1962570382
  Medicare reassignment NPD
• Dupage Cardiology SC

  • Cardiovascular Disease Physician
  • Bloomingdale, IL
  • NPI 1417046731
  Authorized official Same address or phone
• Adventist Bolingbrook Hospital

  dba Adventhealth Bolingbrook

  • Psychiatric Hospital Unit
  • Bolingbrook, IL
  • NPI 1013372440
  NPD
• Adventist Bolingbrook Hospital

  dba Adventist Bolingbrook Cancer Center

  • Hematology & Oncology Physician
  • Bolingbrook, IL
  • NPI 1770998262
  NPD
• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  NPD
• Adventist Midwest Health

  dba Hinsdale Hospital Pediatric Services

  • Pediatrics Physician
  • Hinsdale, IL
  • NPI 1578746178
  NPD
• Du Page Pathology Associates SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Hinsdale, IL
  • NPI 1003815457
  NPD
• Highland Nuclear Imaging LLP

  • Nuclear Radiology Physician
  • Bloomingdale, IL
  • NPI 1427272418
  NPD (past)
• Midwest Cardiac Center SC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1518978923
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1144244146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550",
            "fax_number": "630-789-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 405",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-307-0100",
            "fax_number": "630-307-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036061023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01618378",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -- RR",
            "identifier": "060020112",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "2233084",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395946",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061023",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -- RR",
            "identifier": "060009558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corazon G Krakau
• Jessica Krause
• Trent Kucera, DPT, CSCS
• Patricia Kukulski, COTA/L
• Nehal Kumar, PHARM.D
• Babitha Kuriakose
• L. Humberstone D.C., SC
• Michael S Lang, M.A, LCPC, CSAT
• Pamela J Lanuza, PHARM.D.
• Grace Ann Larkin

• Interventional Cardiology Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.