Kireet Agrawal Incorporated

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIREET AGRAWAL INCORPORATED

Practice address

3000 N Halsted St Ste 611
Chicago, IL 60657-5196

Phone

(708) 797-8084

Fax

(618) 529-8707

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Kireet Agrawal, MDNPI 1780831719

Title

Owner/Provider

Phone

(708) 797-8084

Specialties & licenses 1

Addresses

Other names 1

• Kidney Docs PA Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kireet Agrawal, MD

  • Nephrology Physician
  • Chicago, IL
  • NPI 1780831719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1154987618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3100",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023100",
            "telephone_number": "708-797-8084",
            "fax_number": "618-529-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 611",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575196",
            "telephone_number": "708-797-8084",
            "fax_number": "618-529-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 S Dante Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197118",
            "country_code": "US",
            "telephone_number": "708-797-8084",
            "fax_number": "618-529-8707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17680 Kedzie Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292088",
            "country_code": "US",
            "telephone_number": "708-797-8084",
            "fax_number": "618-529-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIREET AGRAWAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "KIREET",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "708-797-8084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Docs PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney Docs PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Kirch, M.D.
• Jessica S Kirchberg, LCPC (IL), LPC (CO)
• Jacqueline Kircher, LCPC
• Sheetal M Kircher, M.D.
• Ryan William Kirdahy, PA-C
• Andrea Kirincic Simovic, DO
• Kirit Joshi MDSC.
• Brandy Kirk
• Gabrielle Kirk, MS, OTR/L
• Layton Kirk, MA

• Nephrology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.