ROHAN MUNDKUR MD
NPI 1134817737
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Rohan Mundkur's NPI number?

The NPI number for Rohan Mundkur is 1134817737. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Q: What is Rohan Mundkur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rohan Mundkur was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 01, 2023PECOS Enrolled

5841 S MARYLAND AVE STE MC7082, CHICAGO, IL 60637(773) 702-6840 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2023, May 1, 2023 (2 updates tracked since 2023).

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About Rohan Mundkur Md NPPES

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

ROHAN MUNDKUR MD (NPI 1134817737) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134817737

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROHAN MUNDKURCredential: MD

Location Address5841 S MARYLAND AVE STE MC7082Chicago, IL 60637-1465

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6840

Sole ProprietorNo

Enumeration DateMay 1, 2023

Last NPPES UpdateMay 26, 20232 updates tracked since enumeration

NPPES CertifiedMay 26, 2023

✔ NPI 1134817737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE STE MC7082, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rohan Mundkur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

SARAH JARJOUR

Internal Medicine