Vasantha Kumaraiah, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036048395 Issued in IL

Practice address

4400 W 95TH St
Suite 311
Oak Lawn, IL 60453-2654

Phone

(708) 424-9710

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vasantha.kumaraiah@affiliatedoncologists.ikm.direct-ci.com

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.

• Associates in Medical Oncology

  • Hematology & Oncology Physician
  • Oak Lawn, IL
  • NPI 1497964753
  NPD
• Primary Care Partners LLC

  • Internal Medicine Physician
  • Tinley Park, IL
  • NPI 1376533380
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1245307305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62647 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930626",
            "telephone_number": "708-478-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST",
            "address_2": "SUITE 311",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532654",
            "telephone_number": "708-424-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARAIAH",
        "first_name": "VASANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036048395",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036048395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048395",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilia Kulka
• Phillip Kulpinski
• Christine E. Kulstad, M.D.
• Ajit Kumar, M.D.
• Vinay Kumar, MD
• Shahana Shankar Kuniyil, MBBS
• Elizabeth Kunjummen, DO
• Brandon Thomas Kunz
• Allison Nicole Kunze, DO
• Katelyn I Kuper, APN

• Hematology & Oncology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.