KUMAR NATHAN M.D.
NPI 1245251834
Hospitalist in Huntley, IL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10400 HALIGUS RD, HUNTLEY, IL 60142(815) 759-4520(815) 338-6297 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kumar Nathan M.d. NPPES

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

KUMAR NATHAN M.D. (NPI 1245251834) is an individual hospitalist provider in Huntley, Illinois, licensed in Illinois (036109506) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245251834
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKUMAR NATHANCredential: M.D.
Location Address10400 HALIGUS RDHuntley, IL 60142
Mailing Address10400 Haligus RdHuntley, IL 60142-9553 · (815) 759-4520 · Fax (815) 338-6297
Fax(815) 338-6297
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 19, 2018
✔ NPI 1245251834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036109506
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036109506 (IL)
10400 HALIGUS RD, Huntley, IL 60142

Other Identifiers 2

Other036109506IL · State License
Medicaid036109506IL

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

Kumar Nathan 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 ID4385720630
PECOS Enrollment IDI20080326000798
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kumar Nathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 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.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60142 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
10400 HALIGUS RD
HUNTLEY, IL 60142
Hospitalist
10400 HALIGUS RD
HUNTLEY, IL 60142
Emergency Medicine
10400 HALIGUS RD
HUNTLEY, IL 60142
Obstetrics & Gynecology
10400 HALIGUS RD
HUNTLEY, IL 60142
Pediatrics (Neonatal-Perinatal Medicine)
10400 HALIGUS RD
HUNTLEY, IL 60142
Internal Medicine
10400 HALIGUS RD
HUNTLEY, IL 60142
Emergency Medicine
10400 HALIGUS RD
HUNTLEY, IL 60142
Emergency Medicine
10400 HALIGUS RD
HUNTLEY, IL 60142

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 Nathan's NPI number?

The NPI number for Kumar Nathan is 1245251834. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kumar Nathan located?

Kumar Nathan practices at 10400 Haligus Rd, Huntley, IL 60142. The listed phone number is (815) 759-4520.

What is Kumar Nathan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kumar Nathan enrolled in Medicare?

Yes. Kumar Nathan 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 Kumar Nathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumar Nathan reassigns Medicare benefits to 2 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL) and Central Dupage Physician Group (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 Kumar Nathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kumar Nathan affiliated with any hospitals?

According to CMS data, Kumar Nathan is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Kumar Nathan was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.