DR. ASHISH PREMKUMAR MD
NPI 1215279344
Obstetrics & Gynecology - Maternal & Fetal Medicine in Munster, IN
About Dr. Ashish Premkumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ASHISH PREMKUMAR MD (NPI 1215279344) is an individual maternal & fetal medicine provider in Munster, Indiana, licensed in Indiana (01089899A) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
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
Dr. Ashish Premkumar Md 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
4Medicare enrollment records show Ashish Premkumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois and Indiana enrollments
- 2,237 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Chicago Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46321 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.
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.
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
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 Ashish Premkumar's NPI number?
The NPI number for Ashish Premkumar is 1215279344. It was assigned to this individual provider in the NPPES registry on March 27, 2013.
Where is Ashish Premkumar located?
Ashish Premkumar practices at 901 Macarthur Blvd, Munster, IN 46321. The listed phone number is (773) 702-5200.
What is Ashish Premkumar's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.
Is Ashish Premkumar enrolled in Medicare?
Yes. Ashish Premkumar 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 Ashish Premkumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Premkumar reassigns Medicare benefits to 4 organizations: Community Care Network Inc (St John, IN), The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, 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 Ashish Premkumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashish Premkumar accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Ashish Premkumar 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 Ashish Premkumar affiliated with any hospitals?
According to CMS data, Ashish Premkumar is affiliated with The University Of Chicago Medical Center.
When was this NPI record last updated?
The NPPES record for Ashish Premkumar was last updated on August 18, 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.
# Dr. Ashish Premkumar, MD · NPI 1215279344
Maternal & Fetal Medicine physician in Munster, Indiana. Individual provider, active in the CMS NPPES registry since March 27, 2013.
## Identity
- **NPI:** 1215279344 (Entity type: Individual)
- **Enumerated:** March 27, 2013
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** 01089899A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 MACARTHUR BLVD, Munster, IN 46321-2901
- **Phone:** (773) 702-5200 · **Fax:** (773) 702-5160
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Community Care Network Inc (NPI 1457610487, St John, IN); The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** August 18, 2023
- **Other identifiers:** Medicaid 300019070 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215279344) · Data from the CMS NPPES public registry.