Organization Active NPI

Kiba, Inc.

  • Gastroenterology Physician
  • Aurora, IL
National Provider Identifier
1861999559
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KIBA, INC.
Practice address
3845 McCoy Dr Ste 101
Aurora, IL 60504-4429
Phone
(630) 952-1412
Fax
(773) 635-5757
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Mihir Majmundar, MD
Title
President
Phone
(847) 778-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3845 McCoy Dr Ste 101
Aurora, IL 60504-4429

Mailing address

3845 McCoy Dr Ste 101
Aurora, IL 60504-4429
Phone (630) 952-1412

National Provider Directory

National Provider Directory

Locations

3845 McCoy Dr
Ste 101
Aurora, IL 60504
Phone (630) 952-1400

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1861999559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044429",
            "telephone_number": "630-952-1412",
            "fax_number": "773-635-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044429",
            "telephone_number": "630-952-1412",
            "fax_number": "773-635-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MAJMUNDAR",
        "authorized_official_first_name": "MIHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-778-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.