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

Q: 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.

Q: What is Kumar Gaurav's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kumar Gaurav was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: November 01, 2026.

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

On this page

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 Health, Ambetter Health of Delaware, Network Health and more.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. 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.

Medicare Billing Reassignments

Medicare enrollment records show Kumar Gaurav reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Illinois PLLC

0.3 mi

Specialist

2520 ELISHA AVE
Zion, IL 60099

Reassigned Medicare billing, Illinois enrollment
253 clinicians in this Medicare group

NPI 1548258072 (847) 746-4358

Waukegan Clinic Corp

4.7 mi

Family Medicine

1324 N SHERIDAN RD
Waukegan, IL 60085

Reassigned Medicare billing, Illinois enrollment
166 clinicians in this Medicare group

NPI 1306937289 (847) 360-3000

Chest & Sleep Medicine Associates S.C.

12 mi

Pulmonary Disease

755 S MILWAUKEE AVE STE 181
Libertyville, IL 60048

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Chest & Sleep Medicine Associates Sc
8 clinicians in this Medicare group

NPI 1780604116 (847) 855-2430

Cep America Illinois Intensivists

38 mi

Critical Care Medicine

77 N AIRLITE ST
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
99 clinicians in this Medicare group

NPI 1821641499 (847) 695-3200

Vital Health Partners LLC

1,217 mi

Hospitalist

6600 COW PEN RD STE 205
Miami Lakes, FL 33014

Reassigned Medicare billing, Illinois enrollment
54 clinicians in this Medicare group

NPI 1043101207 (786) 985-3895

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 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 4

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

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.

Which organizations bill Medicare for Kumar Gaurav's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumar Gaurav reassigns Medicare benefits to 5 organizations: City Of Hope Medical Group Of Illinois PLLC (Zion, IL), Waukegan Clinic Corp (Waukegan, IL), Chest & Sleep Medicine Associates S.C. (Libertyville, IL), Cep America Illinois Intensivists (Elgin, IL) and Vital Health Partners LLC (Miami Lakes, FL). 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 Gaurav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kumar Gaurav accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Network Health and Oscar 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 and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Kumar Gaurav was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.