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

DR. GIRIJA K KUMAR M.D.
NPI 1861486250
Internal Medicine in Chicago, IL

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
1501 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 257-6552 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Girija K Kumar M.d. NPPES

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

DR. GIRIJA K KUMAR M.D. (NPI 1861486250) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-091930) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1861486250
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GIRIJA K KUMARCredential: M.D.
Location Address1501 S CALIFORNIA AVEChicago, IL 60608-1732
Mailing Address3537 Paysphere CirChicago, IL 60674-0035 · (708) 786-2900
Phone(773) 257-6552
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 31, 2005
Last NPPES UpdateOctober 5, 2011
✔ NPI 1861486250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-091930
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.
1501 S CALIFORNIA AVE, Chicago, IL 60608
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedL61917/357801IL
Medicaid036-091930-1IL
Medicare UPING59225IL

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.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. Girija K Kumar 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 ID6305827429
PECOS Enrollment IDI20040525001666
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 4

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.
58 services33 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.
26 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

STEPHANIE JORDAN
Community Health Worker
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. SURAIYA I ALVI M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
MOUNT SINAI COMMUNITY FOUNDATION
Physician Assistant (Surgical)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6663
DR. AMARDEEP SINGH M.D.
Emergency Medicine
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
DR. NANCY A SIBIGTROTH M.D.
Radiology (Diagnostic Radiology)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6498
DR. SHANTA NATH M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6184
DR. MOHAMMED AZHER KASSEM M.D
Internal Medicine
1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608
Cook County (773) 257-6120
ALYNA CHIEN MD
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6770

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 Girija Kumar's NPI number?

The NPI number for Girija Kumar is 1861486250. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Girija Kumar located?

Girija Kumar practices at 1501 S California Ave, Chicago, IL 60608. The listed phone number is (773) 257-6552.

What is Girija Kumar's specialty?

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

Is Girija Kumar enrolled in Medicare?

Yes. Girija Kumar 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 Girija Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Girija 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 Girija Kumar affiliated with any hospitals?

According to CMS data, Girija Kumar is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Girija Kumar was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.