NPIMap

Individual provider Active NPI

Maninder S. Kohli, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1851390348
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092528 Issued in IL
Practice address
950 N York Rd
Suite 205
Hinsdale, IL 60521-2950
Phone
(630) 590-5751
Fax
(630) 590-5753
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036092528 IL Primary

Addresses

Primary practice location

950 N York Rd
Suite 205
Hinsdale, IL 60521-2950

Mailing address

950 N York Rd
Suite 205
Hinsdale, IL 60521-2950
Phone (630) 590-5751

Other identifiers 1

IdentifierTypeStateIssuer
036092528MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000031 IL Practitioner - Internal Medicine 9436111648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

950 N York Rd
Suite 205
Hinsdale, IL 60521-8609
Phone (630) 590-5751

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Avesena Home Health Care Home health agency, Addison, IL, CCN 147802
  • Safe Life Home Health Care, LLC Home health agency, Lombard, IL, CCN 148319
  • Angels Grace Hospice Hospice, Bolingbrook, IL, CCN 141644
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Shirley Ryan Abilitylab Inpatient rehabilitation facility, Chicago, IL, CCN 143026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036092528ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darien Immediate Care LTD Internal Medicine CurrentSince Sep 6, 2015 Accepting new patients
MPS Kohli MD SC Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients
Kohli & Khan Internists MD SC Internal Medicine PastSince Nov 21, 2003 Accepting new patients

Locations

8190 Cass Ave
Darien, IL 60561
Phone (630) 333-0501

950 N York Rd
Ste 205
Hinsdale, IL 60521
Phone (630) 590-5751

4735 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (630) 822-0024

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uchicago Medicine Adventhealth BolingbrookBolingbrook, IL, CCN 140304 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth la GrangeLa Grange, IL, CCN 140065 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth la GrangeLa Grange, IL, CCN 14T065 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth BolingbrookBolingbrook, IL, CCN 14S304 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth GlenoaksGlendale Heights, IL, CCN 140292 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth HinsdaleHinsdale, IL, CCN 14S122 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth HinsdaleHinsdale, IL, CCN 140122 Hospital Corporate Director Jan 1, 2022
Uchicago Medicine Adventhealth Home CareLa Grange, IL, CCN 147207 Home health agency Corporate Director Jan 1, 2022
Adventist St Thomas HospiceHinsdale, IL, CCN 141507 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1851390348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "address_2": "SUITE 205",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212950",
            "telephone_number": "630-590-5751",
            "fax_number": "630-590-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "address_2": "SUITE 205",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212950",
            "telephone_number": "630-590-5751",
            "fax_number": "630-590-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "MANINDER",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092528",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.