BHAVYA KUMAR MD
NPI 1578977922
Internal Medicine in Elmhurst, IL

Q: What is Bhavya Kumar's NPI number?

The NPI number for Bhavya Kumar is 1578977922. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Bhavya Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bhavya Kumar was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 13, 2014PECOS Enrolled

9.22/100

CMS Quality Rating

360 W BUTTERFIELD RD, ELMHURST, IL 60126(630) 523-9161(630) 523-9697 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bhavya Kumar Md NPPES

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

BHAVYA KUMAR MD (NPI 1578977922) is an individual internal medicine provider in Elmhurst, Illinois, licensed in Illinois (036138632) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1578977922

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameBHAVYA KUMARCredential: MD

Location Address360 W BUTTERFIELD RDElmhurst, IL 60126-5068

Mailing Address360 W Butterfield Rd Ste 270Elmhurst, IL 60126-5098 · (630) 523-9161 · Fax (630) 523-9697

Phone(630) 523-9161

Fax(630) 523-9697

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 13, 2014

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1578977922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036138632✔ Licensed in CT · 53216

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

360 W BUTTERFIELD RD, Elmhurst, IL 60126

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhavya Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345468914

PECOS Enrollment IDI20151007001771

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2307894

Bhavya Kumar MD Sc · Elmhurst, IL

Expired · Jul 16, 2026

CLIA Number14D2307894

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2024

Certificate Expiration DateJuly 16, 2026

Laboratory DirectorBhavya Kumar

Laboratory Phone(630) 523-9161

Laboratory LocationBhavya Kumar MD Sc360 W Butterfield Rd, Elmhurst, IL 60126

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

997 services136 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.

403 services105 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.

362 services129 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

128 services113 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

97 services90 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

80 services79 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

64 services55 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

54 services16 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.

37 services17 patients

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.

35 services19 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.

19 services14 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

18 services15 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

16 services11 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140292

Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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.

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.

9.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

30.74

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers25 claims25 services$15.77 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

3 suppliers26 claims26 services$65.07 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers20 claims20 services$29.16 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 20

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

DR. JEFFREY W CHANDLER D.D.S.

Dentist (Oral and Maxillofacial Surgery)

360 W BUTTERFIELD RD, SUITE 220
ELMHURST, IL 60126

Dupage County (630) 833-0395

DR. WILLIAM A FITZMAURICE JR. M.D.

Obstetrics & Gynecology

360 W BUTTERFIELD RD, SUITE 250
ELMHURST, IL 60126

Dupage County (630) 832-4210

RYON MICHAEL HENNESSY MD

Orthopaedic Surgery

360 W BUTTERFIELD RD, SUITE 160
ELMHURST, IL 60126

Dupage County (630) 782-9600

ACHIEVE RECOVERY AND REHAB, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

360 W BUTTERFIELD RD
ELMHURST, IL 60126

Dupage County (773) 286-3883

DARYL LEN OCONNOR MD

Orthopaedic Surgery

360 W BUTTERFIELD RD, SUITE 160
ELMHURST, IL 60126

Dupage County (630) 782-9600

DR. EVELYN E CHEN M.D.

Obstetrics & Gynecology

360 W BUTTERFIELD RD, SUITE 250
ELMHURST, IL 60126

Dupage County (630) 832-4210

DR. SUSAN FRANCES BURGESS DMD

Dentist

360 W BUTTERFIELD RD, SUITE 210
ELMHURST, IL 60126

Dupage County (630) 834-2270

DR. CAROLINE A CASEY M.D.

Obstetrics & Gynecology

360 W BUTTERFIELD RD, SUITE 250
ELMHURST, IL 60126

Dupage County (630) 832-4210

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 Bhavya Kumar's NPI number?

The NPI number for Bhavya Kumar is 1578977922. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Bhavya Kumar located?

Bhavya Kumar practices at 360 W Butterfield Rd, Elmhurst, IL 60126. The listed phone number is (630) 523-9161.

What is Bhavya Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bhavya Kumar enrolled in Medicare?

Yes. Bhavya Kumar is registered in the Medicare PECOS enrollment system.

Is Bhavya Kumar affiliated with any hospitals?

According to CMS data, Bhavya Kumar is affiliated with Elmhurst Memorial Hospital, Northwestern Medicine Central Dupage Hospital, Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and Uchicago Medicine Adventhealth Glenoaks.

When was this NPI record last updated?

The NPPES record for Bhavya Kumar was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

About Bhavya Kumar Md NPPES

NPPES Registry Identity

Specialties & Licenses

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 14D2307894

Areas of Expertise CMS Part B claims 14

Hospital Affiliations CMS Care Compare 5

Elmhurst Memorial Hospital

Northwestern Medicine Central Dupage Hospital

Northwest Community Hospital 1

Alexian Brothers Medical Center 1

Uchicago Medicine Adventhealth Glenoaks

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 3

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Bhavya Kumar's NPI number?

Where is Bhavya Kumar located?

What is Bhavya Kumar's specialty?

Is Bhavya Kumar enrolled in Medicare?

Is Bhavya Kumar affiliated with any hospitals?

When was this NPI record last updated?

Certificate of Waiver 14D2307894