DR. KUNAL MANDAVAWALA MD
NPI 1265926349
Internal Medicine - Critical Care Medicine in Maywood, IL
About Dr. Kunal Mandavawala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KUNAL MANDAVAWALA MD (NPI 1265926349) is an individual critical care medicine provider in Maywood, Illinois, licensed in Kentucky (TP033) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains a secondary practice location in Louisville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 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. Kunal Mandavawala 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
2Medicare enrollment records show Kunal Mandavawala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 clinicians in this Medicare group
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 826 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSaint Anthony Medical Center
Acute Care Hospitals · Rockford, ILLoyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Kunal Mandavawala's NPI number?
The NPI number for Kunal Mandavawala is 1265926349. It was assigned to this individual provider in the NPPES registry on June 21, 2018.
Where is Kunal Mandavawala located?
Kunal Mandavawala practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Kunal Mandavawala's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Kunal Mandavawala enrolled in Medicare?
Yes. Kunal Mandavawala 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 Kunal Mandavawala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kunal Mandavawala reassigns Medicare benefits to 2 organizations: Loyola University Medical Center (Maywood, IL) and North American Partners In Anesthesia (illinois), LLC (Springfield, 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 Kunal Mandavawala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kunal Mandavawala accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Kunal Mandavawala 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 Kunal Mandavawala affiliated with any hospitals?
According to CMS data, Kunal Mandavawala is affiliated with Osf Saint Elizabeth Mdl Ctr, Saint Anthony Medical Center and Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Kunal Mandavawala was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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. Kunal Mandavawala, MD · NPI 1265926349
Critical Care Medicine physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since June 21, 2018.
## Identity
- **NPI:** 1265926349 (Entity type: Individual)
- **Enumerated:** June 21, 2018
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** TP033 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## 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): Loyola University Medical Center (NPI 1336159961, Maywood, IL); North American Partners In Anesthesia (illinois), LLC (NPI 1699032524, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** May 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265926349) · Data from the CMS NPPES public registry.