Individual provider Active NPI

Vineet Kumar, M.D

  • Hospitalist Physician
  • Carbondale, IL
National Provider Identifier
1285074385
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036139206 Issued in IL
Practice address
405 W Jackson St
Carbondale, IL 62901-1462
Phone
(618) 549-0721
Fax
(618) 529-0479
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036139206 IL Primary
Family Medicine Physician 207Q00000X 125.064132 IL

Addresses

Primary practice location

405 W Jackson St
Carbondale, IL 62901-1462

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 549-0479

Other practice location 1

201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35760

Other practice location 2

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55321

Other identifiers 1

IdentifierTypeStateIssuer
214881OtherILMEDICARE GROUP PTAN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address vkumar13549@sih.direct-ci.com
Direct Messaging Address vkumar13549@sih.direct-ci.com
Direct Messaging Address vkumar13549@sih.direct-ci.com

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
I20160809003026 IL Practitioner - HospitalistPractitioner - Family Practice 3870890882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

  • Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Deaconess Illinois Union County Nursing home, CCN 14Z342

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.064132ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC Hospitalist CurrentSince Mar 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine Current Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Mar 1, 2023 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 1, 2016 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Mar 1, 2023 Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 W Jackson St
Carbondale, IL 62901

405 W Jackson St
#Sih
Carbondale, IL 62901
Phone 6185490721 ext. 65137

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

2 S Hospital Dr
#Sih
Murphysboro, IL 62966
Phone 6186843156 ext. 65137

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: vkumar04@yourcarecommunity.org
  • Direct secure messaging: vkumar13549@sih.direct-ci.com

Organizations & group practices 6

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 7

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1285074385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-549-0479",
            "fax_number": "618-529-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W JACKSON ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011462",
            "telephone_number": "618-549-0721",
            "fax_number": "618-529-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171 x35760",
            "fax_number": "618-988-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156 x55321",
            "fax_number": "618-684-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VINEET",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036139206",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.064132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "214881",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkumar13549@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkumar13549@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "address_2": "SIH Medical Group Hospitalist Program",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkumar13549@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "address_2": "SIH Medical Group Hospitalist Program",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.