Individual provider Active NPI

Kumar M Kaliana, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1154465664
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036045238 Issued in IL
Practice address
1952 E 73Rd St
Chicago, IL 60649-2902
Phone
(773) 493-5600
Fax
(773) 493-5790
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036045238 IL Primary

Addresses

Primary practice location

1952 E 73Rd St
Chicago, IL 60649-2902

Mailing address

1952 E 73Rd St
Chicago, IL 60649-2902
Phone (773) 493-5600

Other names 1

  • Dr. Muthukumaran Kaliana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036045238ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1154465664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 E 73RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492902",
            "telephone_number": "773-493-5600",
            "fax_number": "773-493-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 E 73RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492902",
            "telephone_number": "773-493-5600",
            "fax_number": "773-493-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIANA",
        "first_name": "KUMAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036045238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUTHUKUMARAN",
            "last_name": "KALIANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.