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DR. KUMAR GAURAV M.D.
NPI 1467617902
Internal Medicine - Pulmonary Disease in Zion, IL

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099(800) 322-9183 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2025, Jul 12, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Dr. Kumar Gaurav M.d. NPPES

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

DR. KUMAR GAURAV M.D. (NPI 1467617902) is an individual pulmonary disease provider in Zion, Illinois, licensed in Wisconsin (65716) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467617902
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KUMAR GAURAVCredential: M.D.
Location AddressCANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUEZion, IL 60099
Mailing AddressCancer Treatment Centers Of America, 2361 Paysphere CircleChicago, IL 60674 · (800) 322-9183
Phone(800) 322-9183
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 24, 2008
Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1467617902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in WI · 65716✔ Licensed in KY · TP081✔ Licensed in IL · 036.158029
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 65716 (WI), TP081 (KY), 036158029 (IL)
CANCER TREATMENT CENTERS OF AMERICA, Zion, IL 60099
Open in Google Maps ↗

Other Identifiers 1

Medicaid1467617902WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Dr. Kumar Gaurav 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 ID5496971905
PECOS Enrollment IDI20211105000137
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140084
Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County
Emergency services Birthing friendly

Midwestern Region Med Center, Inc

Acute Care Hospitals · Zion, IL
5/5 CMS rating
OwnershipProprietary
CMS Certification Number140100
Location2520 Elisha AvenueZion, IL 60099 · Lake County
Emergency services

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60099 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims68 services$1.61 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers18 claims18 services$34.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers13 claims13 services$66.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

VANJA Z RISSKY FNP-BC
Nurse Practitioner
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
DR. TAMI C CARRILLO MD
Radiology (Vascular & Interventional Radiology)
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVE
ZION, IL 60099
Lake County (800) 322-9183
DR. AJAZ M. KHAN M.D.
Internal Medicine (Hematology & Oncology)
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
DR. LAURA C FARRINGTON D.O
Internal Medicine (Medical Oncology)
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
DR. ASIM MAHMOOD M.D.
Anesthesiology
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
MS. ELISA A DEMET NP
Nurse Practitioner (Family)
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
ROBERT W THUMME DO
Emergency Medicine
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
DR. HATEM HALABI MD
Surgery
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183

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 Gaurav's NPI number?

The NPI number for Kumar Gaurav is 1467617902. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Kumar Gaurav located?

Kumar Gaurav practices at Cancer Treatment Centers Of America 2520 Elisha Avenue, Zion, IL 60099. The listed phone number is (800) 322-9183.

What is Kumar Gaurav's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kumar Gaurav enrolled in Medicare?

Yes. Kumar Gaurav 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.

What insurance does Kumar Gaurav accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Kumar Gaurav 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 Kumar Gaurav affiliated with any hospitals?

According to CMS data, Kumar Gaurav is affiliated with Vista Medical Center East, Midwestern Region Med Center, Inc, Sarah Bush Lincoln Health Center, Advocate Condell Medical Center and Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kumar Gaurav was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.