Individual provider Active NPI

Videsha Kulkarni, MD

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1215988126
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-102372 Issued in IL
Practice address
2550 Compass Road
Suite CD
Glenview, IL 60026-8000
Phone
(847) 998-0010
Fax
(847) 998-1171
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-102372 IL Primary

Addresses

Primary practice location

2550 Compass Road
Suite CD
Glenview, IL 60026-8000

Mailing address

2550 Compass Road
Suite CD
Glenview, IL 60026-8000
Phone (847) 998-0010

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
I20070109000220 IL Practitioner - Internal Medicine 5395751010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glen Medical Associates SCGroup PAC ID 2163584046, 3 clinicians

Practice addresses (Care Compare)

2550 Compass Rd
Suite CD
Glenview, IL 60026-1610
Phone (847) 998-0010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102372ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Medical Associates SC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Lake Shore Cardiology Group, LTD. PastSince Jan 1, 2009 Accepting new patients

Locations

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2501 Compass Rd
Ste 110
Glenview, IL 60026
Phone (847) 998-0010

2550 Compass Rd
Ste Cd
Glenview, IL 60026
Phone (847) 904-7370

2550 Compass Rd
Ste C
Glenview, IL 60026

2550 Compass Rd
Glenview, IL 60026
Phone (847) 834-4018

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1215988126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COMPASS ROAD",
            "address_2": "SUITE CD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268000",
            "telephone_number": "847-998-0010",
            "fax_number": "847-998-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COMPASS ROAD",
            "address_2": "SUITE CD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268000",
            "telephone_number": "847-998-0010",
            "fax_number": "847-998-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "VIDESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-102372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.