NPIMap

Individual provider Active NPI

Vinitha Kunchala, MD

  • Family Medicine Physician
  • Lockport, IL
National Provider Identifier
1477756732
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301088183 Issued in MI
Practice address
703 E 9TH St Unit 101
Lockport, IL 60441-3929
Phone
(815) 838-0694
NPI assigned
Jun 6, 2007
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301088183 MI
Family Medicine Physician 207Q00000X 4301088183 MI Primary

Addresses

Primary practice location

703 E 9TH St Unit 101
Lockport, IL 60441-3929

Mailing address

703 E 9TH St Unit 101
Lockport, IL 60441-3929
Phone (815) 838-0694

Other practice location 1

13415 S Route 59
Plainfield, IL 60585-5676
Phone (815) 609-3627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkunchala46424@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091014000176 IL Practitioner - Family Practice 8224174776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088183MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Family Medicine CurrentSince Jun 12, 2025 Accepting new patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients
Anjali Kher, M.D., S.C. PastSince Aug 24, 2011 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

7503 W Cermak Rd
Riverside, IL 60546
Phone (708) 447-3269

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Organizations & group practices 5

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 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1477756732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E 9TH ST UNIT 101",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413929",
            "telephone_number": "815-838-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E 9TH ST UNIT 101",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413929",
            "telephone_number": "815-838-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13415 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605855676",
            "country_code": "US",
            "telephone_number": "815-609-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNCHALA",
        "first_name": "VINITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301088183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkunchala46424@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "703 E 9th St Unit 101",
            "city": "Lockport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604413929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.