Individual provider Active NPI

Kireet Agrawal, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1780831719
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036132683 Issued in IL
Practice address
3000 N Halsted St Ste 611
Chicago, IL 60657-5196
Phone
(708) 797-8084
Fax
(618) 529-8707
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.36022 AL
Internal Medicine Physician 207R00000X P22867 MD
Internal Medicine Physician 207R00000X 036.132683 IL
Internal Medicine Physician 207R00000X 15646 NH
Hospitalist Physician 208M00000X 036.132683 IL
Nephrology Physician 207RN0300X 036132683 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 611
Chicago, IL 60657-5196

Mailing address

5100 N Marine Dr Apt 21B
Chicago, IL 60640-3255
Phone (410) 294-8611

Other practice location 1

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2682

Other practice location 2

5100 N Marine Dr Apt 21B
Chicago, IL 60640-3255
Phone (410) 294-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130627000187 IL Practitioner - HospitalistPractitioner - Internal Medicine 5890945232 Reassigns benefits to 2 organizations
I20171205002272 AL Practitioner - HospitalistPractitioner - Internal Medicine 5890945232 Reassigns benefits to 2 organizations
I20190729003326 IL Practitioner - NephrologyPractitioner - Internal Medicine 5890945232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 N Halsted St
Chicago, IL 60657-5196
Phone (708) 797-8084

Hospital & facility affiliations

  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • DaVita Irving Park Dialysis Dialysis facility, Chicago, IL, CCN 142840
  • DaVita Lincoln Park Dialysis Dialysis facility, Chicago, IL, CCN 142528
  • DaVita Logan Square Dialysis Dialysis facility, Chicago, IL, CCN 142534
  • Dialyze Direct Il - Glen Ellyn Dialysis facility, Glen Ellyn, IL, CCN 142752
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Merit-based Incentive Payment System (MIPS)

Final score
70.02 of 100Reported as group
Quality
20
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36022ALMDInternal Medicine Physician
036.132683ILMDInternal Medicine Physician
P22867MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Illinois Kidney Care PLLC Nephrology CurrentSince Jun 15, 2022 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jul 30, 2019 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 30, 2019 Accepting new patients
Kireet Agrawal Incorporated Nephrology CurrentSince Aug 1, 2019 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Sep 15, 2017 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 6, 2017 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811

3000 N Halsted St
Ste 607
Chicago, IL 60657
Phone (773) 296-3456

9532 Eagle Way
Chicago, IL 60678

2740 W Foster Ave
Ste 417
Chicago, IL 60625
Phone (773) 275-7900

2620 W Addison St
Chicago, IL 60618
Phone (773) 248-0462

3000 N Halsted St
Ste 611
Chicago, IL 60657
Phone (773) 296-3900

10300 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 425-1100

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1780831719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N MARINE DR APT 21B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403255",
            "telephone_number": "410-294-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 611",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575196",
            "telephone_number": "708-797-8084",
            "fax_number": "618-529-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 N Marine Dr Apt 21B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606403255",
            "country_code": "US",
            "telephone_number": "410-294-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "KIREET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.36022",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P22867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.132683",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "15646",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.132683",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036132683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.