NPIMap

Individual provider Active NPI

Priyanka Kumar

  • Urology Physician
  • East Chicago, IN
National Provider Identifier
1295078418
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01080766A Issued in IN
Practice address
4320 Fir Street
Suite 220
East Chicago, IN 46312
Phone
(219) 703-2591
NPI assigned
Apr 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01080766A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4320 Fir Street
Suite 220
East Chicago, IN 46312

Mailing address

4320 Fir Street
Suite 220
East Chicago, IN 46312
Phone (219) 703-2591

Other practice location 1

4201 Saint Antoine St
University Health Center 6C
Detroit, MI 48201-2153
Phone (313) 577-5009

Other practice location 2

4320 Fir Street
Suite 220
East Chicago, IN 46312
Phone (219) 703-2591

Other practice location 3

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-2010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkumar404639@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181018000570 IN Practitioner - Urology 0749582724 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician Network 1,152 clinicians
The Methodist Hospitals Inc 131 clinicians
Uro Surgery Associates LLC 17 clinicians

Practice addresses (Care Compare)

1104 E Grace St
Renssalaer, IN 47978-3211
Phone (219) 866-2010

200 E 86TH PL
Methodist Cardiology Services
Merrillville, IN 46410-6258
Phone (219) 756-1400

400 W 84TH Dr
Merrillville, IN 46410-6248
Phone (219) 769-8641

Hospital & facility affiliations

  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080766AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jul 12, 2024 Accepting new patients
Uro Surgery Associates LLC Urology CurrentSince Oct 1, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Jul 12, 2024 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Oct 1, 2018 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Oct 1, 2018 Accepting new patients
Community Care Network Inc Urology CurrentSince Oct 27, 2018 Accepting new patients
Uro Surgery Associates LLC Urology CurrentSince Oct 1, 2018 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

4320 Fir St
Unit 410
East Chicago, IN 46312
Phone (219) 392-7665

4320 Fir St
Unit 220
East Chicago, IN 46312
Phone (219) 398-9184

4844 Broadway
Gary, IN 46408
Phone (219) 884-2400

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

400 W 84th Dr
Merrillville, IN 46410
Phone (219) 736-1255

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: priyankakumar@up.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

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": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1295078418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FIR STREET",
            "address_2": "SUITE 220",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-703-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FIR STREET",
            "address_2": "SUITE 220",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-703-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_2": "University Health Center 6C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-577-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Fir Street",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "46312",
            "country_code": "US",
            "telephone_number": "219-703-2591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479783211",
            "country_code": "US",
            "telephone_number": "219-866-2010",
            "fax_number": "219-866-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRIYANKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01080766A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkumar404639@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1104 E Grace St",
            "city": "Rensselaer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479783211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.