Organization Active NPI

Gold Coast Anesthesia PLLC

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1629748181
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GOLD COAST ANESTHESIA PLLC
Practice address
2335 W Fullerton Ave
Chicago, IL 60647-3225
Phone
(347) 927-4037
Fax
(248) 621-5219
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Shawn Kumar, MDNPI 1043552953
Title
Owner
Phone
(248) 342-6480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2335 W Fullerton Ave
Chicago, IL 60647-3225

Mailing address

301 W Grand Ave Unit 324
Chicago, IL 60654-4640
Phone (312) 724-9001

National Provider Directory

National Provider Directory

Locations

2335 W Fullerton Ave
Chicago, IL 60647
Phone (773) 249-2700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1629748181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE UNIT 324",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544640",
            "telephone_number": "312-724-9001",
            "fax_number": "312-319-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473225",
            "telephone_number": "347-927-4037",
            "fax_number": "248-621-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-342-6480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.