Individual provider Active NPI

Jagan K Kansal, M.D

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1942611694
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-153180 Issued in IL
Practice address
1030 N Clark St Ste 310
Chicago, IL 60610-5413
Phone
(312) 620-1803
NPI assigned
May 15, 2014
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036-153180 IL Primary
Urology Physician 208800000X 01097404A IN
Urology Physician 208800000X 70572 WI

Addresses

Primary practice location

1030 N Clark St Ste 310
Chicago, IL 60610-5413

Mailing address

20706 Cardinal CT
Frankfort, IL 60423-3106
Phone (312) 620-1803

Other practice location 1

11845 Southwest Hwy Unit 12
Palos Heights, IL 60463-1599
Phone (708) 923-5422

Other practice location 2

2359 Hassell Rd
Hoffman Estates, IL 60169-2102
Phone (847) 843-7030

Other practice location 3

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-0854

Other practice location 4

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300

Other practice location 5

21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone (312) 620-1803

Other practice location 6

W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-5100

Other identifiers 2

IdentifierTypeStateIssuer
300116993MedicaidIN
1942611694MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkansal213596@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190416003275 WI Practitioner - Urology 9335366517 Reassigns benefits to 2 organizations
I20200819001357 IL Practitioner - Urology 9335366517 Reassigns benefits to 4 organizations
I20250805000292 IN Practitioner - Urology 9335366517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Down There Urology PLLCGroup PAC ID 1153793963, 2 clinicians

Practice addresses (Care Compare)

1030 N Clark St
Suite 310
Chicago, IL 60610-5413
Phone (312) 620-1803

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-153180ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 17, 2019 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Urology CurrentSince Sep 1, 2025 Accepting new patients
Down There Urology, PLLC Urology CurrentSince Feb 1, 2023 Accepting new patients
Crawford Hospital District Urology CurrentSince Sep 1, 2024 Accepting new patients
Crawford Hospital District CurrentSince Sep 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 17, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Crawford Hospital District Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1030 N Clark St
Ste 310
Chicago, IL 60610
Phone (312) 544-0200

21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

11845 Southwest Hwy
Unit 12
Palos Heights, IL 60463
Phone (708) 274-8700

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W180N8085 Town Hall Rd
Fl 3
Menomonee Falls, WI 53051

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533

Interoperability endpoints

  • Direct secure messaging: jkansal213596@direct.edward.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1942611694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20706 CARDINAL CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233106",
            "telephone_number": "312-620-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CLARK ST STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105413",
            "telephone_number": "312-620-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11845 Southwest Hwy Unit 12",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631599",
            "country_code": "US",
            "telephone_number": "708-923-5422",
            "fax_number": "708-923-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2359 Hassell Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601692102",
            "country_code": "US",
            "telephone_number": "847-843-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-0854",
            "fax_number": "414-955-0122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530959274",
            "country_code": "US",
            "telephone_number": "262-836-7300",
            "fax_number": "262-836-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "312-620-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W180N8085 Town Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513518",
            "country_code": "US",
            "telephone_number": "262-257-5100",
            "fax_number": "262-518-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANSAL",
        "first_name": "JAGAN",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-153180",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01097404A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "70572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300116993",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942611694",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkansal213596@direct.edward.org",
            "affiliation": "N",
            "address_1": "2359 Hassell Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601692102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.