Individual provider Active NPI

Harsha Vardhan Hampasandra Madan Kumar, MD

  • Pediatric Pulmonology Physician
  • Chicago, IL
National Provider Identifier
1922258045
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
036121988 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036121988 IL
Pediatric Pulmonology Physician 2080P0214X 036121988 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

840 S Wood St
CSB 1217, Department of Pediatrics (MC 856)
Chicago, IL 60612-4325
Phone (312) 996-6714

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130612000734 IL Practitioner - Pediatric Medicine 5991944480 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121988ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Pediatrics CurrentSince Jan 20, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 14, 2013 Accepting new patients
Cook County CurrentSince Jan 20, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Pediatrics CurrentSince Jan 14, 2013 Accepting new patients
Cook County Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

840 S Wood St
#1217
Chicago, IL 60612

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

Interoperability endpoints

  • Direct secure messaging: hhampasandramadankumar17250@uihealth.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1922258045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "CSB 1217, DEPARTMENT OF PEDIATRICS (MC 856)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN KUMAR",
        "first_name": "HARSHA VARDHAN",
        "middle_name": "HAMPASANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036121988",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "IL",
            "license": "036121988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.