Organization Active NPI

Kasturi Medical Care, LTD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1881604528
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036105457 Issued in IL
Legal business name
KASTURI MEDICAL CARE, LTD
Practice address
15 Tower CT Ste 240
Gurnee, IL 60031-3336
Phone
(847) 249-1606
Fax
(847) 249-1609
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Pramila Kasturi, MD
Title
Owner
Phone
(224) 210-0471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036105457 IL Primary

Addresses

Primary practice location

15 Tower CT Ste 240
Gurnee, IL 60031-3336

Mailing address

PO Box 291
Wauconda, IL 60084-0291
Phone (847) 249-1606

Other identifiers 2

IdentifierTypeStateIssuer
036105457MedicaidIL
DF7990OtherILRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

15 Tower Ct
Ste 240
Gurnee, IL 60031
Phone (847) 249-1606

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1881604528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600840291",
            "telephone_number": "847-249-1606",
            "fax_number": "847-249-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 240",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313336",
            "telephone_number": "847-249-1606",
            "fax_number": "847-249-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASTURI MEDICAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "KASTURI",
        "authorized_official_first_name": "PRAMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-210-0471",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105457",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DF7990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.