Individual provider Active NPI

Mira A Kuder, MD PHD

  • Family Medicine Physician
  • Wheeling, IL
National Provider Identifier
1982607511
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109233 Issued in IL
Practice address
325 N Milwaukee Ave Unit E-F
Wheeling, IL 60090-3071
Phone
(847) 459-6308
Fax
(847) 459-6423
NPI assigned
May 27, 2005
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036109233 IL Primary

Addresses

Primary practice location

325 N Milwaukee Ave Unit E-F
Wheeling, IL 60090-3071

Mailing address

325 N Milwaukee Ave Unit E-F
Wheeling, IL 60090-3071
Phone (847) 459-6308

Other identifiers 1

IdentifierTypeStateIssuer
036109233MedicaidIL

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
I20031119000725 IL Practitioner - Family PracticePractitioner - Emergency Medicine 8426962713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uk Family Practice, S.C.Group PAC ID 3476510454, 2 clinicians

Practice addresses (Care Compare)

325 N Milwaukee Ave
Suite E F
Wheeling, IL 60090-3071
Phone (847) 459-6308

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Physician Services HP, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mkuder252174@direct.myadvocateaurora.org

Organizations & group practices 2

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 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1982607511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MILWAUKEE AVE UNIT E-F",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903071",
            "telephone_number": "847-459-6308",
            "fax_number": "847-459-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MILWAUKEE AVE UNIT E-F",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903071",
            "telephone_number": "847-459-6308",
            "fax_number": "847-459-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDER",
        "first_name": "MIRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109233",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.