Individual provider Active NPI

Marilyn D. Kumra, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo Grove, IL
National Provider Identifier
1841201902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041221986 Issued in IL
Practice address
236 Timber Hill Rd
Buffalo Grove, IL 60089-1927
Phone
(847) 947-7311
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041221986 IL Primary

Addresses

Primary practice location

236 Timber Hill Rd
Buffalo Grove, IL 60089-1927

Mailing address

236 Timber Hill Rd.
Buffalo Grove, IL 60089
Phone (847) 947-7311

Other identifiers 1

IdentifierTypeStateIssuer
041221986MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040303000150 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507753670 Reassigns benefits to 2 organizations
I20040811000962 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507753670 Reassigns benefits to 2 organizations
I20201105001598 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507753670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041221986ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Morpheus Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 8, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Specialists of Orange County, Inc. CurrentSince Nov 13, 2021 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Sound Physicians Anesthesiology of California PC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 8, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Atp Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Gary Chinghuei Kao MD Inc Past Accepting new patients
Empire Ansths Medcl Conslnts Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

1124 S Main St
Ste 102
Corona, CA 92882
Phone (951) 284-7180

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

3410 La Sierra Ave
Ste F510
Riverside, CA 92503
Phone (909) 227-5139

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2111 Ogden Ave
Aurora, IL 60504
Phone (630) 978-3800

9532 Eagle Way
Chicago, IL 60678

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

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

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

130 North St
Walton, NY 13856
Phone (607) 865-6541

Organizations & group practices 12

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 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841201902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 TIMBER HILL RD.",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-947-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 TIMBER HILL RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891927",
            "telephone_number": "847-947-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMRA",
        "first_name": "MARILYN",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041221986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041221986",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.