Active NPI
Irma Kuptel MD SC
- Internal Medicine Physician
- Palos Heights, IL
National Provider Identifier
1295488641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IRMA KUPTEL MD SC
- Practice address
- 6400 W College Dr
Ste 600
Palos Heights, IL 60463-1900 - Phone
- (708) 425-4662
- Fax
- (708) 425-4692
- NPI assigned
- Jan 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irma Kuptel, MD
- Title
- President
- Phone
- (708) 425-4662
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6400 W College Dr
Ste 600
Palos Heights, IL 60463-1900
Mailing address
221 Pine Tree LN
La Grange Park, IL 60526-1115
Phone (847) 334-3710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6400 W College Dr
Ste 600
Palos Heights, IL 60463
Phone (708) 389-3224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1508808999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1295488641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PINE TREE LN",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261115",
"telephone_number": "847-334-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 W COLLEGE DR",
"address_2": "STE 600",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631900",
"telephone_number": "708-425-4662",
"fax_number": "708-425-4692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRMA KUPTEL MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "KUPTEL",
"authorized_official_first_name": "IRMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-425-4662",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.