NPIMap

Individual provider Active NPI

Kumar Gaurav, M.D.

  • Pulmonary Disease Physician
  • Zion, IL
National Provider Identifier
1467617902
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
65716 Issued in WI
Practice address
Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
NPI assigned
Jul 24, 2008
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 65716 WI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X TP081 KY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036158029 IL
Pulmonary Disease Physician 207RP1001X TP081 KY
Pulmonary Disease Physician 207RP1001X 036.158029 IL
Pulmonary Disease Physician 207RP1001X 65716 WI Primary

Addresses

Primary practice location

Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099

Mailing address

Cancer Treatment Centers of America
2361 Paysphere Circle
Chicago, IL 60674
Phone (800) 322-9183

Other identifiers 1

IdentifierTypeStateIssuer
1467617902MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160811001226 WI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496971905
I20211105000137 IL Practitioner - Pulmonary Disease 5496971905 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians
Chest and Sleep Medicine Associates SCGroup PAC ID 6204803059, 7 clinicians

Practice addresses (Care Compare)

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

755 S Milwaukee Ave
Suite 181
Libertyville, IL 60048-3267
Phone (847) 855-2493

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158029ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Partners LLC CurrentSince Dec 8, 2025 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Aug 13, 2024 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Mar 1, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Aug 13, 2024 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Apr 1, 2023 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Mar 1, 2025 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Oct 25, 2021 Accepting new patients
Chest & Sleep Medicine Associates S.C. Critical Care Medicine CurrentSince Feb 1, 2025 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients
University of Kentucky Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

755 S Milwaukee Ave
Ste 181
Libertyville, IL 60048
Phone (847) 816-1228

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • Direct secure messaging: kgaurav145445@cityofhope.direct-ci.com
  • Direct secure messaging: kgaurav16609@ukhcdirect.org

Organizations & group practices 10

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 6

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1467617902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTERS OF AMERICA",
            "address_2": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "800-322-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTERS OF AMERICA",
            "address_2": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAURAV",
        "first_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "65716",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "TP081",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036158029",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "TP081",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.158029",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "65716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467617902",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.