Individual provider Active NPI

Irma Kuptel, MD

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1508808999
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-091117 Issued in IL
Practice address
6400 W College Dr Ste 600
Palos Heights, IL 60463-1900
Phone
(708) 425-4662
Fax
(708) 425-4692
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-091117 IL Primary

Addresses

Primary practice location

6400 W College Dr Ste 600
Palos Heights, IL 60463-1900

Mailing address

221 Pine Tree LN
La Grange Park, IL 60526-1115
Phone (847) 653-8413

Other identifiers 1

IdentifierTypeStateIssuer
10584976OtherILCAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000485 IL Practitioner - Internal Medicine 5991752354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6400 W College Dr
Suite 600
Palos Heights, IL 60463-1900
Phone (708) 389-3224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091117ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irma Kuptel MD SC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

6400 W College Dr
Ste 600
Palos Heights, IL 60463
Phone (708) 389-3224

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 and National Provider Directory roles.

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1508808999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PINE TREE LN",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261115",
            "telephone_number": "847-653-8413",
            "fax_number": "847-292-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR STE 600",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631900",
            "telephone_number": "708-425-4662",
            "fax_number": "708-425-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPTEL",
        "first_name": "IRMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-091117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10584976",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.