BISSY KUMPUCKAL NP
NPI 1053784645
Nurse Practitioner - Family in Darien, IL
About Bissy Kumpuckal Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BISSY KUMPUCKAL NP (NPI 1053784645) is an individual family provider in Darien, Illinois, licensed in Illinois (209013257) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bissy Kumpuckal Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bissy Kumpuckal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Delnor Community Hospital
Acute Care Hospitals · Geneva, ILNorthwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Bissy Kumpuckal's NPI number?
The NPI number for Bissy Kumpuckal is 1053784645. It was assigned to this individual provider in the NPPES registry on November 5, 2015.
Where is Bissy Kumpuckal located?
Bissy Kumpuckal practices at 2213 Hamilton Ln, Darien, IL 60561. The listed phone number is (630) 689-6553.
What is Bissy Kumpuckal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bissy Kumpuckal enrolled in Medicare?
Yes. Bissy Kumpuckal 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.
Which organizations bill Medicare for Bissy Kumpuckal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bissy Kumpuckal reassigns Medicare benefits to 2 organizations: Central Dupage Physician Group (Carol Stream, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bissy Kumpuckal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bissy Kumpuckal affiliated with any hospitals?
According to CMS data, Bissy Kumpuckal is affiliated with Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.
When was this NPI record last updated?
The NPPES record for Bissy Kumpuckal was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Bissy Kumpuckal, NP · NPI 1053784645
Family physician in Darien, Illinois. Individual provider, active in the CMS NPPES registry since November 5, 2015.
## Identity
- **NPI:** 1053784645 (Entity type: Individual)
- **Enumerated:** November 5, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209013257 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2213 HAMILTON LN, Darien, IL 60561-4346
- **Phone:** (630) 689-6553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Central Dupage Physician Group (NPI 1033149844, Carol Stream, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053784645) · Data from the CMS NPPES public registry.