Individual provider Active NPI

Kiran Munir, MD

  • Nephrology Physician
  • Gurnee, IL
National Provider Identifier
1184184657
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036168435 Issued in IL
Practice address
1425 N Hunt Club Rd Ste 301
Gurnee, IL 60031-2639
Phone
(847) 485-5925
NPI assigned
Mar 21, 2019
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 036168435 IL Primary

Addresses

Primary practice location

1425 N Hunt Club Rd Ste 301
Gurnee, IL 60031-2639

Mailing address

120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000

Other practice location 1

Dept Of Medicine Hsc Level 16, Suny Stony Brook Hosp
Stony Brook, NY 11794-0001
Phone (631) 444-2058

Other practice location 2

1616 Grand Ave Ste A
Waukegan, IL 60085-3676
Phone (847) 855-9152

Other practice location 3

1475 E Belvidere Rd Ste 317
Grayslake, IL 60030-2016
Phone (847) 855-9152

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240715000172 IL Practitioner - Nephrology 7911233762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1425 N Hunt Club Rd
Suite 301
Gurnee, IL 60031-2639
Phone (847) 855-9152

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036168435ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince May 2, 2024 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology Current Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients
North Suburban Nephrology LLC Past Accepting new patients

Locations

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

1475 E Belvidere Rd
Ste 317
Grayslake, IL 60030
Phone (847) 548-8269

1425 N Hunt Club Rd
Ste 301
Gurnee, IL 60031
Phone (847) 855-9152

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

1616 Grand Ave
Ste A
Waukegan, IL 60085
Phone (847) 249-1733

Interoperability endpoints

  • Direct secure messaging: kmunir189433@cityofhope.direct-ci.com
  • Direct secure messaging: kmunir66686@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1184184657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD STE 301",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312639",
            "telephone_number": "847-485-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept Of Medicine Hsc Level 16, Suny Stony Brook Hosp",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-2058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600853676",
            "country_code": "US",
            "telephone_number": "847-855-9152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 E Belvidere Rd Ste 317",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302016",
            "country_code": "US",
            "telephone_number": "847-855-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036168435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.