1. Home
  2. Directory
  3. Illinois
  4. Elmhurst
  5. Internal Medicine
  6. NPI Profile

BHAVYA KUMAR MD
NPI 1578977922
Internal Medicine in Elmhurst, IL

Active since June 13, 2014PECOS EnrolledCLIA 14D2307894 · Waiver
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: October 18, 2026.

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, holds a CLIA Waiver certificate valid through July 16, 2028, and is affiliated with Elmhurst Memorial Hospital.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Bhavya Kumar MD Sc
Same address
Internal Medicine
360 W BUTTERFIELD RD STE 270
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1780194290 (630) 523-9161
Inpatient Consultants Of Illinois, P.C.
3.6 mi
Hospitalist
15 SALT CREEK LN, SUITE 111
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
NPI 1548442569 (630) 371-0133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Active · expires Jul 16, 2028
CLIA Number14D2307894
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
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

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
Quality0
Improvement Activities0
Cost30.74

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.

Which organizations bill Medicare for Bhavya Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavya Kumar reassigns Medicare benefits to 2 organizations: Bhavya Kumar MD Sc (Elmhurst, IL) and Inpatient Consultants Of Illinois, P.C. (Hinsdale, 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 Bhavya Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Bhavya Kumar hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2307894) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bhavya Kumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bhavya Kumar 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 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.