Active NPI
Jagan K Kansal, M.D
- Urology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036-153180
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300116993 | Medicaid | IN | |
| 1942611694 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkansal213596@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-153180 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Urology | Current | Accepting new patients |
| Down There Urology, PLLC | Urology | Current | Accepting new patients |
| Crawford Hospital District | Urology | Current | Accepting new patients |
| Crawford Hospital District | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | 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
- 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.
-
- Urology Physician
- Chicago, IL
- NPI 1265142129
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Urology
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.