DR. KUMAR SIDDHARTH LAL M.D.
NPI 1023541398
Internal Medicine - Pulmonary Disease in Chicago, IL

Q: What is Kumar Lal's NPI number?

The NPI number for Kumar Lal is 1023541398. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Kumar Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kumar Lal was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment

4025 N WESTERN AVE BLDG E, CHICAGO, IL 60618(773) 275-7700 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Jun 15, 2023 (2 updates tracked since 2023).

On this page

About Dr. Kumar Siddharth Lal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KUMAR SIDDHARTH LAL M.D. (NPI 1023541398) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036153347) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1023541398

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KUMAR SIDDHARTH LALCredential: M.D.

Location Address4025 N WESTERN AVE BLDG EChicago, IL 60618-3726

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(773) 275-7700

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 2017

Enumeration DateApril 4, 2017

Last NPPES UpdateFebruary 2, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2024

✔ NPI 1023541398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IL · 036153347

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036153347 (IL)

4025 N WESTERN AVE BLDG E, Chicago, IL 60618

Open in Google Maps ↗

Secondary Practice Location 1

Location 1836 W Wellington AveChicago, IL 60657-5147 · Phone (312) 996-2933

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kumar Siddharth Lal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921344664

PECOS Enrollment IDI20230605002088

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

236 services88 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

85 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH R JORGENSON M.D.

Internal Medicine

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 275-7700

MS. ERICA J KLAW PA-C

Physician Assistant

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 725-7700

MS. ALYSON MARIE HU LCSW

Social Worker (Clinical)

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 296-3300

ALESIA CHURYLA MD

Internal Medicine

4025 N WESTERN AVE BLDG E, MEDICAL SERVICES
CHICAGO, IL 60618

Cook County (773) 275-7700

GORDON DOUGLAS SKEOCH

Obstetrics & Gynecology

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 296-3300

POOJA JAIN DOSHI M.D.

Obstetrics & Gynecology

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 296-3300

MR. VIRGILIO A CARAMAY FNP-BC

Nurse Practitioner (Family)

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 275-7700

ALIYAH Y AHMED

Family Medicine

4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Cook County (773) 275-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kumar Lal's NPI number?

The NPI number for Kumar Lal is 1023541398. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Kumar Lal located?

Kumar Lal practices at 4025 N Western Ave Bldg E, Chicago, IL 60618. The listed phone number is (773) 275-7700.

What is Kumar Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kumar Lal enrolled in Medicare?

Yes. Kumar Lal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kumar Lal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kumar Lal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kumar Lal affiliated with any hospitals?

According to CMS data, Kumar Lal is affiliated with Advocate Illinois Masonic Medical Center, Advocate Christ Hospital & Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Kumar Lal was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.