Organization Active NPI

Bhavya Kumar MD SC

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1780194290
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036138632 Issued in IL
Legal business name
BHAVYA KUMAR MD SC
Practice address
360 W Butterfield Rd Ste 270
Elmhurst, IL 60126-5098
Phone
(630) 523-9161
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Bhavya Kumar, MDNPI 1578977922
Title
President
Phone
(304) 552-2111

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036138632 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 270
Elmhurst, IL 60126-5098

Mailing address

39 Woodside Dr
Oak Brook, IL 60523-1548
Phone (304) 552-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102000424 IL Part B Supplier - Clinic/Group Practice 4880950104 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL; Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

2425 W 22nd St
Ste 206
Oak Brook, IL 60523
Phone (630) 523-9697

1634 S Ardmore Ave
Ste 100
Villa Park, IL 60181
Phone (630) 847-7880

Practitioners 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2307894Bhavya Kumar MD SC360 W Butterfield Rd, Elmhurst, IL 60126Certificate of waiverJul 16, 2026

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1780194290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WOODSIDE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231548",
            "telephone_number": "304-552-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 270",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265098",
            "telephone_number": "630-523-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAVYA KUMAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "BHAVYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-552-2111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036138632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.