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

Q: 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.

Q: What is Ratnesh Kumar's specialty?

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

Q: 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.

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: November 01, 2026.

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

On this page

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

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, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Ratnesh Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skyline Physicians LLC

15 mi

Family Medicine

1200 ROOSEVELT RD STE 140
Glen Ellyn, IL 60137

Reassigned Medicare billing, Illinois enrollment
21 clinicians in this Medicare group

NPI 1568704443 (708) 307-2103

Dupage Immediate Care, Ltd

16 mi

Urgent Care

1S210 SUMMIT AVE
Oakbrook Terrace, IL 60181

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1114262326 (630) 282-6002

Bhavya Kumar MD Sc

17 mi

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

Urgiclinic Urgent Care PLLC

28 mi

Urgent Care

7124 W 83RD ST UNIT C
Bridgeview, IL 60455

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1982301685 (708) 788-5088

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

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

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

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.

Which organizations bill Medicare for Ratnesh Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ratnesh Kumar reassigns Medicare benefits to 4 organizations: Skyline Physicians LLC (Glen Ellyn, IL), Dupage Immediate Care, Ltd (Oakbrook Terrace, IL), Bhavya Kumar MD Sc (Elmhurst, IL) and Urgiclinic Urgent Care PLLC (Bridgeview, 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 Ratnesh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ratnesh Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar 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.

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.