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Dr. Malini Kumar , DO

Pediatrics β€’ Downers Grove, IL

Active NPI 1578859476 Individual Practitioner Female Practitioner
Practice location in NPPES

5207 Main St
Downers Grove, IL 605154652

Call 6309646049 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5207 Main St

Downers Grove, IL 605154652

Telephone 6309646049
Organization at the Same NPPES Address or Phone
Adventist Health Partners, Inc Facility NPI 1912192725

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kumar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kumar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Downers Grove and Illinois

24 active clinicians are listed under Pediatrics with a practice address in Downers Grove, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Downers Grove

0% of these 24 clinicians have the CMS telehealth indicator.

4.2% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036134625

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 281123

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00695941 (NY)
Medicaid ID
036134625 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20170109002726

Enrollment State Jurisdiction

NY

PECOS Control ID

9436370467

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Joanne Cheung , MD

Internal Medicine

NPI 1811165384

Doctor of Medicine (M.D.)

Dr. Weiser Cordero , MD

Internal Medicine

NPI 1063689719

Doctor of Medicine (M.D.)

Sharon Frigo Doyle , APNP

Nurse Practitioner

NPI 1689248098

Advanced Practice Nurse Prescriber

Dr. Gigi Ip , MD

Internal Medicine

NPI 1376519777

Doctor of Medicine (M.D.)

Dr. Hajira Khan , MD

Internal Medicine

NPI 1003307091

Doctor of Medicine (M.D.)

Dr. Bency Kurian , MD

Internal Medicine

NPI 1952581449

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address August 09, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

πŸ“
Updated Practice Location April 16, 2021

Registered at 5207 MAIN ST, DOWNERS GROVE, IL 605154652 (Tel: 6309646049)

πŸ“
Updated Practice Location October 26, 2018

Registered at 3743 HIGHLAND AVE STE 1003, DOWNERS GROVE, IL 605151594 (Tel: 6309646049)

πŸ“
Updated Business Mailing Address October 26, 2018

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606741600 (Tel: 6304692000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

Pediatrics (license number reported to NPPES: NY 281123)

βœ…
NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 27, 2016

Registered at 3611 21ST ST, LONG ISLAND CITY, NY 111064705 (Tel: 7184827772)

πŸ“
Business Mailing Address (Initial Record) December 27, 2016

Registered at 60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 100101600 (Tel: 2125452438)

πŸ‘€
Provider Name / Credentials (Initial Record) December 27, 2016

Recorded as MALINI KUMAR, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Pediatrics (license number reported to NPPES: NY 281123)

🟒
Initial NPI Registration & Enumeration June 20, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578859476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2011
Last Update: August 09, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Downers Grove

Healthcare providers in Downers Grove

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.