Individual provider Active NPI

Kiritkumar D Trivedi, M.D.

  • Specialist
  • Calumet City, IL
National Provider Identifier
1154401198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
656 Wentworth Ave
Calumet City, IL 60409-4221
Phone
(708) 862-8341
Fax
(708) 862-4880
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IL Primary

Addresses

Primary practice location

656 Wentworth Ave
Calumet City, IL 60409-4221

Mailing address

656 Wentworth Ave
Calumet City, IL 60409-4221
Phone (708) 862-8341

Other identifiers 1

IdentifierTypeStateIssuer
TR703720MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040327000335 IL Practitioner - Internal MedicinePractitioner - Family Practice 8527950187 Reassigns benefits to 1 organization
Practice locations: Calumet City, IL; Schaumburg, IL
I20040624001493 IN Practitioner - Family Practice 8527950187 Practice locations: Hammond, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5454 Hohman Ave
Franciscan St Margaret Health Care Center
Hammond, IN 46320-1931
Phone (219) 932-2300

656 Wentworth Ave
Calument City, IL 60409-4221
Phone (708) 862-8341

Hospital & facility affiliations

  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165
  • Aliya of Glenwood Nursing home, Glenwood, IL, CCN 145758

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Home Doctors Medical Practice PLLC CurrentSince Apr 4, 2022 Accepting new patients
Cardio-Pulmonary Associates, P.C. Past Accepting new patients
Heart-Lung Health Centers Past Accepting new patients

Locations

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

Interoperability endpoints

  • Direct secure messaging: ktrivedi64112@direct.franciscanalliance.org

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154401198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 WENTWORTH AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604094221",
            "telephone_number": "708-862-8341",
            "fax_number": "708-862-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 WENTWORTH AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604094221",
            "telephone_number": "708-862-8341",
            "fax_number": "708-862-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KIRITKUMAR",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR703720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.