DR. PRIYA UDAY KUMTHEKAR MD
NPI 1649410036
Internal Medicine - Hematology & Oncology in Chicago, IL

Active since February 25, 2009PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611(312) 695-4360(312) 695-1435 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Jun 16, 2020 (2 updates tracked since 2020).

About Dr. Priya Uday Kumthekar Md NPPES

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

DR. PRIYA UDAY KUMTHEKAR MD (NPI 1649410036) is an individual hematology & oncology provider in Chicago, Illinois, licensed in Illinois (036128054) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649410036
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PRIYA UDAY KUMTHEKARCredential: MD
Location Address675 N SAINT CLAIR ST STE 20-100Chicago, IL 60611-5970
Mailing Address675 N Saint Clair St Ste 20-100Chicago, IL 60611-5970 · (312) 695-4360 · Fax (312) 695-1435
Fax(312) 695-1435
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2007
Enumeration DateFebruary 25, 2009
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1649410036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036128054
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036128054 (IL)
675 N SAINT CLAIR ST STE 20-100, Chicago, IL 60611

Secondary Practice Locations 2

Location 11 W Superior St Apt 801Chicago, IL 60654-8810 · Phone (330) 687-2746
Location 24405 Weaver PkwyWarrenville, IL 60555-3269 · Phone (630) 352-5450 · Fax (630) 352-5499

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. Priya Uday Kumthekar 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.

PECOS PAC ID8729243852
PECOS Enrollment IDI20120622000331
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
165 services70 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier18 claims18 services$11,165.06 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 13

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

Psychiatry & Neurology (Neurology)
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Internal Medicine (Hematology & Oncology)
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Neurological Surgery
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Internal Medicine (Hematology & Oncology)
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
675 N SAINT CLAIR ST STE 20-100
CHICAGO, IL 60611

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 Priya Kumthekar's NPI number?

The NPI number for Priya Kumthekar is 1649410036. It was assigned to this individual provider in the NPPES registry on February 25, 2009.

Where is Priya Kumthekar located?

Priya Kumthekar practices at 675 N Saint Clair St Ste 20-100, Chicago, IL 60611. The listed phone number is (312) 695-4360.

What is Priya Kumthekar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Priya Kumthekar enrolled in Medicare?

Yes. Priya Kumthekar 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.

Is Priya Kumthekar affiliated with any hospitals?

According to CMS data, Priya Kumthekar is affiliated with Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Priya Kumthekar was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.