Kirtikumar P Talsania, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036054484 Issued in IL

Practice address

5 Yellow Star CT
Woodridge, IL 60517-1702

Phone

(630) 969-8845

Fax

(630) 969-8845

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1437185980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 YELLOW STAR CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171702",
            "telephone_number": "630-969-8845",
            "fax_number": "630-969-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 YELLOW STAR CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171702",
            "telephone_number": "630-969-8845",
            "fax_number": "630-969-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALSANIA",
        "first_name": "KIRTIKUMAR",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036054484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054484",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.