KM Surgical, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036046251 Issued in IL

Legal business name

KM SURGICAL, P.C.

Practice address

505 N Lake Shore Dr
Suite 203
Chicago, IL 60611

Phone

(312) 528-9068

Fax

(312) 278-4492

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kiumars Mostowfi, M.D.

Title

President

Phone

(312) 528-9068

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• Vasectomy Clinics of Chicago Doing business as
• KM Surgical, S.C. Former legal business name
• Kiumars Mostowfi, M.D., S.C. Former legal business name

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1700903309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600480669",
            "telephone_number": "312-528-9068",
            "fax_number": "312-278-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-528-9068",
            "fax_number": "312-278-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM SURGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "KIUMARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-528-9068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036046251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasectomy Clinics of Chicago",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vasectomy Clinics of Chicago",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KM Surgical, S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kiumars Mostowfi, M.D., S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas Kluss, OD
• Victoria Kluss, M.S., OTR/L
• Klutch & Well LLC
• Krzysztof Kluzowski
• Deborah Klyczek, OTR/L
• KM Williams MD SC
• Omar Kmala
• Kmetko & Associates, LTD.
• KMH Counseling and Consulting
• Magdalena Kmiecik, LSW

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.