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KUNJUMOL PULLATHRA VELAYUDHAN ANP
NPI 1124215264
Nurse Practitioner - Adult Health in Evergreen Park, IL

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment
3650 W 95TH ST, EVERGREEN PARK, IL 60805(708) 422-7715(708) 422-7816 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kunjumol Pullathra Velayudhan Anp NPPES

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

KUNJUMOL PULLATHRA VELAYUDHAN ANP (NPI 1124215264) is an individual adult health provider in Evergreen Park, Illinois, licensed in Illinois (209006239) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124215264
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKUNJUMOL PULLATHRA VELAYUDHANCredential: ANP
Location Address3650 W 95TH STEvergreen Park, IL 60805-2108
Mailing Address3650 W 95th StEvergreen Park, IL 60805-2108 · (708) 422-7715 · Fax (708) 422-7816
Phone(708) 422-7715
Fax(708) 422-7816
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 3, 2007
Last NPPES UpdateFebruary 25, 2009
✔ NPI 1124215264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209006239
3650 W 95TH ST, Evergreen Park, IL 60805
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK47298

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

Kunjumol Pullathra Velayudhan Anp 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 ID3870673171
PECOS Enrollment IDI20071227000344
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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 3

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

JOSEPH H OYAMA M.D.
Internal Medicine (Nephrology)
3650 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DEMETRIOS ZIKOS M.D.
Internal Medicine (Nephrology)
3650 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
ROBIN DIAZ-GRADY RD, CSR, LDN
Dietitian, Registered (Nutrition, Renal)
3650 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715

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 Kunjumol Velayudhan's NPI number?

The NPI number for Kunjumol Velayudhan is 1124215264. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Kunjumol Velayudhan located?

Kunjumol Velayudhan practices at 3650 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 422-7715.

What is Kunjumol Velayudhan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kunjumol Velayudhan enrolled in Medicare?

Yes. Kunjumol Velayudhan 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.

When was this NPI record last updated?

The NPPES record for Kunjumol Velayudhan was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.