Active NPI
Vicky Kumar, M.D
- Student in an Organized Health Care Education/Training Program
- Urbana, IL
National Provider Identifier
1497204333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 611 West Park Street
Carle Forum Lower Level
Urbana, IL 61801 - Phone
- (217) 383-3110
- NPI assigned
- Oct 3, 2016
- Last updated
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | Primary |
Addresses
Primary practice location
611 West Park Street
Carle Forum Lower Level
Urbana, IL 61801
Mailing address
611 West Park Street
Carle Forum, Lower Level
Urbana, IL 61801
Phone (217) 383-3110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Illinois | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1205002185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1497204333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WEST PARK STREET",
"address_2": "CARLE FORUM, LOWER LEVEL",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 WEST PARK STREET",
"address_2": "CARLE FORUM LOWER LEVEL",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "VICKY",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-03",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.