Individual provider Active NPI

Kiran Girdhar, M.D.

  • Allergy & Immunology Physician
  • Hinsdale, IL
National Provider Identifier
1508942822
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036058101 Issued in IL
Practice address
333 Chestnut St Ste 203
Hinsdale, IL 60521-3249
Phone
(630) 323-5522
Fax
(630) 323-5524
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036058101 IL Primary
Pediatrics Physician 208000000X 036058101 IL

Addresses

Primary practice location

333 Chestnut St Ste 203
Hinsdale, IL 60521-3249

Mailing address

333 Chestnut St Ste 203
Hinsdale, IL 60521-3249
Phone (630) 323-5522

Other identifiers 1

IdentifierTypeStateIssuer
036058101MedicaidIL

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
I20120503000612 IL Practitioner - Allergy/Immunology 6002078250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hinsdale Asthma and Allergy Center SCGroup PAC ID 2466614607, 3 clinicians

Practice addresses (Care Compare)

105 E 1St St
Suite 203
Hinsdale, IL 60521-4247
Phone (630) 323-5522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036058101ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Asthma & Allergy Center SC Allergy & Immunology CurrentSince Jun 1, 2012 Accepting new patients

Locations

333 W Chestnut St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

40 S Clay St
Ste 200E
Hinsdale, IL 60521
Phone (630) 323-5522

105 E 1st St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

Interoperability endpoints

  • Direct secure messaging: kiran.girdhar.1@25998.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25998/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1508942822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213249",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213249",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDHAR",
        "first_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036058101",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036058101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.