Active NPI
Raman Kumar, M.D.
- Surgery Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036.148925
- Practice address
- 2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569 - Phone
- (618) 465-9024
- Fax
- (618) 462-6828
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101250146 | VA | |
| Colon & Rectal Surgery Physician | 208C00000X | 0101250146 | VA | |
| Colon & Rectal Surgery Physician | 208C00000X | MD461609 | PA | |
| Surgery Physician | 208600000X | 036.148925 | IL | Primary |
Addresses
Primary practice location
2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Mailing address
2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Phone (618) 465-9024
Other practice location 1
735 Norman Dr Ste 3
Lebanon, PA 17042-7559
Phone (717) 270-7908
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Creighton University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Saint Anthonys Way
Alton, IL 62002-4569
2200 Central Ave
Alton, IL 62002-4569
Phone (618) 433-7600
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148925 | IL | MD | Surgery Physician |
| MD461609 | PA | MD | Colon & Rectal Surgery Physician |
| 0101250146 | VA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Single Specialty | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Single Specialty | Current | Accepting new patients |
Locations
2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Organizations & group practices 2
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1386866853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 305",
"city": "ALTON",
"state": "IL",
"postal_code": "620024569",
"telephone_number": "618-465-9024",
"fax_number": "618-462-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 305",
"city": "ALTON",
"state": "IL",
"postal_code": "620024569",
"telephone_number": "618-465-9024",
"fax_number": "618-462-6828"
}
],
"practiceLocations": [
{
"address_1": "735 Norman Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427559",
"country_code": "US",
"telephone_number": "717-270-7908",
"fax_number": "717-272-1734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "RAMAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101250146",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "VA",
"license": "0101250146",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "PA",
"license": "MD461609",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": "036.148925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.