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RATNESH KUMAR MBBS,MD
NPI 1952544918
Pediatrics in Hoffman Estates, IL

Active since April 07, 2009PECOS Enrolled
1585 BARRINGTON RD, SUITE 601-A , DOCTOR'S BUILDING#2, HOFFMAN ESTATES, IL 60169(847) 884-5911 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2022, Jun 13, 2016 (2 updates tracked since 2016).

About Ratnesh Kumar Mbbs,md NPPES

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

RATNESH KUMAR MBBS,MD (NPI 1952544918) is an individual pediatrics provider in Hoffman Estates, Illinois, licensed in Illinois (036.140474) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952544918
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRATNESH KUMARCredential: MBBS,MD
Location Address1585 BARRINGTON RD, SUITE 601-A , DOCTOR'S BUILDING#2Hoffman Estates, IL 60169-1090
Mailing Address1s210 Summit AveOakbrook Terrace, IL 60181-3933 · (630) 282-6002 · Fax (630) 282-7322
Phone(847) 884-5911
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 7, 2009
Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1952544918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036.140474✔ Licensed in CT · 053520
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1585 BARRINGTON RD, Hoffman Estates, IL 60169
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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 (PECOS)

Ratnesh Kumar Mbbs,md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355606559
PECOS Enrollment IDI20180517000115
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 9

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 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.
118 services98 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services115 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
81 services75 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.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60169 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

DAVID H. TROTTER MD
Orthopaedic Surgery
1585 BARRINGTON RD, SUITE 101
HOFFMAN ESTATES, IL 60169
Cook County (847) 884-7771
MR. ANGELO MOCA ATC
Specialist/Technologist (Athletic Trainer)
1585 BARRINGTON RD
HOFFMAN ESTATES, IL 60169
Cook County (847) 884-7771
JIGNA PATEL
Physical Therapist
1585 BARRINGTON RD, SUITE # 101
HOFFMAN ESTATES, IL 60169
Cook County (847) 884-7771
K BOEHM DDS & ASSOC PC
Dentist (General Practice)
1585 BARRINGTON RD, STE 106
HOFFMAN ESTATES, IL 60169
Cook County (847) 884-1220
ANNE G SZPINDOR MD PC
Specialist
1585 BARRINGTON RD, SUITE 606
HOFFMAN ESTATES, IL 60169
Cook County (847) 310-8844
JOEL STOLAR M.D.S.C.
Ophthalmology
1585 BARRINGTON RD
HOFFMAN ESTATES, IL 60169
Cook County (847) 843-8684
DR. REENA JABAMONI MD
Obstetrics & Gynecology (Reproductive Endocrinology)
1585 BARRINGTON RD, SUITE 401
HOFFMAN ESTATES, IL 60169
Cook County (847) 843-7090
ALEXANDER PANTOJA TY P.T.
Physical Therapist
1585 BARRINGTON RD, STE 101
HOFFMAN ESTATES, IL 60169
Cook County (847) 884-7771

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 Ratnesh Kumar's NPI number?

The NPI number for Ratnesh Kumar is 1952544918. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Ratnesh Kumar located?

Ratnesh Kumar practices at 1585 Barrington Rd Suite 601-A , Doctor's Building#2, Hoffman Estates, IL 60169. The listed phone number is (847) 884-5911.

What is Ratnesh Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ratnesh Kumar enrolled in Medicare?

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

What insurance does Ratnesh Kumar accept?

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

According to CMS data, Ratnesh Kumar is affiliated with Northwestern Medicine Central Dupage Hospital and Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Ratnesh Kumar was last updated on February 7, 2022. 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.