Kiran Kumar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36110014 Issued in IL

Practice address

412 63Rd St
Suite 103
Downers Grove, IL 60516-2000

Phone

(630) 719-5472

Fax

(630) 719-5466

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1891744892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N ELM ST",
            "address_2": "SUITE 215",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213634",
            "telephone_number": "630-856-6865",
            "fax_number": "630-856-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 63RD ST",
            "address_2": "SUITE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-719-5472",
            "fax_number": "630-719-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36110014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kucia
• Leslie A Kula-Leitner, MSW, LCSW, ACM-SW
• Angelina Susan Kula, DDS
• Julianne Elizabeth Kulow, PMHNP
• Arjun Girish Kumar, OTD, OTR/L
• Malini Kumar, D.O.
• Heather B Kupcso
• Narmadha Kuppuswami, M.D.
• Sivaraja Kuppuswami, M.D.
• Bency Kurian, MD

• Family Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.