NPIMap

Individual provider Active NPI

Kishore M Karamchandani, M.D.

  • Pulmonary Disease Physician
  • Bloomington, IL
National Provider Identifier
1215923065
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036093871 Issued in IL
Practice address
1505 Eastland Dr
Suite 320
Bloomington, IL 61701-3534
Phone
(309) 661-2368
Fax
(309) 662-9709
NPI assigned
Sep 26, 2005
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036093871 IL Primary
Pulmonary Disease Physician 207RP1001X MED-PHYS-LIC-92329 MT

Addresses

Primary practice location

1505 Eastland Dr
Suite 320
Bloomington, IL 61701-3534

Mailing address

1505 Eastland Dr Ste 320
Bloomington, IL 61701-7912
Phone (309) 661-2368

Other practice location 1

900 N Orange St Ste 106
Missoula, MT 59802-2951
Phone (406) 327-3100

Other identifiers 2

IdentifierTypeStateIssuer
833120OtherMEDICARE GROUP #
036093871MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122001286 MT Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890755979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

900 N Orange St
Missoula, MT 59802-2951
Phone (406) 327-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-92329MTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Nov 5, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
St. Peter's Health CurrentSince Dec 1, 2020 Accepting new patients
St Peter's Health Current Accepting new patients
Providence Health & Services Mt CurrentSince Nov 5, 2025 Accepting new patients
St. Peter's Health CurrentSince Dec 1, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Peoria Pulmonary Associates, LTD. Pulmonary Disease PastSince Oct 13, 2004 Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

500 W Broadway St
Ste 320
Missoula, MT 59802

900 N Orange St
Ste 106
Missoula, MT 59802
Phone (406) 327-3100

Interoperability endpoints

  • Direct secure messaging: kkaramchandani4129936@wm.providencedirect.org

Organizations & group practices 8

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 11

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215923065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 320",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017912",
            "telephone_number": "309-661-2368",
            "fax_number": "309-662-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE 320",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-661-2368",
            "fax_number": "309-662-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Orange St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022951",
            "country_code": "US",
            "telephone_number": "406-327-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAMCHANDANI",
        "first_name": "KISHORE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036093871",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-92329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "833120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093871",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.