Kanchana Esariya-Umpai, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036060991 Issued in IL

Practice address

1026 Essington Rd
Joliet, IL 60435-2841

Phone

(815) 744-2556

Fax

(815) 744-3554

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kanchana Umpai Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kanchana Esairya-Umpai M D S C

  • Obstetrics & Gynecology Physician
  • Joliet, IL
  • NPI 1841562881
  Authorized official Same address or phone
• Kanchana Esariya Umpai,MD,SC.

  • Specialist
  • Joliet, IL
  • NPI 1083888093
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1609980549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-744-2556",
            "fax_number": "815-744-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-744-2556",
            "fax_number": "815-744-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESARIYA-UMPAI",
        "first_name": "KANCHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036060991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANCHANA",
            "last_name": "UMPAI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Scott Epner, MD
• Eric Erickson
• Katie Erickson
• Ernesto Tan, M.D.S.C.
• Shaun Matthew Ernst, DPT
• Esk Home Services (Home Helpers 58389)
• Essington Medical Group, Inc (Southshore Foot and ankle surgery)
• Essington Pharmacy
• Estelle Fletcher MD PHD Family Doctor S.C.
• Etcetera Treatment and Counseling

• Specialist in Joliet, IL
• Providers in Joliet, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.