Active NPI
Kiritkumar D Trivedi, M.D.
- Specialist
- Calumet City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TR703720 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Franciscan Health Munster
- Aliya of Glenwood
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Doctors Medical Practice PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Schaumburg, IL
- NPI 1346822129
-
- Pulmonary Disease Physician
- Munster, IN
- NPI 1790850766
-
- Internal Medicine Physician
- Munster, IN
- NPI 1336216662
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.