Individual provider Active NPI

Meena Kishor Kudalkar, MD

  • Anesthesiology Physician
  • Oak Lawn, IL
National Provider Identifier
1508837956
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036061350 Issued in IL
Practice address
6311 W 95TH St
Oak Lawn, IL 60453-2201
Phone
(708) 423-2258
Fax
(708) 423-2305
NPI assigned
Feb 1, 2006
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036061350 IL Primary

Addresses

Primary practice location

6311 W 95TH St
Oak Lawn, IL 60453-2201

Mailing address

6311 W 95TH St
Oak Lawn, IL 60453-2201
Phone (708) 423-2258

Other identifiers 1

IdentifierTypeStateIssuer
050051124OtherILRR MEDICARE

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1508837956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532201",
            "telephone_number": "708-423-2258",
            "fax_number": "708-423-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532201",
            "telephone_number": "708-423-2258",
            "fax_number": "708-423-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDALKAR",
        "first_name": "MEENA",
        "middle_name": "KISHOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036061350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050051124",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.