NPIMap

Individual provider Active NPI

Kumar Bobba, M.D.

  • Cardiovascular Disease Physician
  • Danville, IL
National Provider Identifier
1356320238
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01076077A Issued in IN
Practice address
1900 E Main St
Danville, IL 61832
Phone
(217) 554-3000
Fax
(217) 554-4807
NPI assigned
Jan 10, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01076077A IN Primary

Addresses

Primary practice location

1900 E Main St
Danville, IL 61832

Mailing address

1900 E Main St
Danville, IL 61832-5100
Phone (217) 554-3000

Other practice location 1

1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373

Other identifiers 2

IdentifierTypeStateIssuer
01076077AMedicaidIN
060061599OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070403000510 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234137134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

250 S Crescent Dr
Mason City, IA 50401-2926

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Single Specialty Current Accepting new patients
North Iowa Mercy Clinics Single Specialty CurrentSince Oct 6, 2025 Accepting new patients
North Iowa Mercy Clinics Single Specialty Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Oct 6, 2025 Accepting new patients
Cardiovascular Medicine PLLC Single Specialty CurrentSince Apr 1, 1997 Accepting new patients
Floyd County Memorial Hospital Commission Single Specialty Past Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients
The Methodist Hospitals, Inc Single Specialty PastSince Oct 1, 2016 Accepting new patients

Locations

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

250 S Crescent Dr
Ste 200
Mason City, IA 50401
Phone (641) 494-5300

250 S Crescent Dr
Ste M2600
Mason City, IA 50401
Phone (641) 494-5300

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 281-2140

350 John Deere Rd
Moline, IL 61265
Phone (309) 743-6700

2525 24th St
Rock Island, IL 61201
Phone (309) 788-4590

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kbobba4680022@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1356320238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-3000",
            "fax_number": "217-554-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-554-3000",
            "fax_number": "217-554-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751316",
            "country_code": "US",
            "telephone_number": "219-440-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01076077A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076077A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060061599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.