DR. ANUP KUMAR M.D.
NPI 1548689870
Internal Medicine - Critical Care Medicine in Mchenry, IL
NPI Status: Active since April 15, 2014
Contact Information
4201 W MEDICAL CENTER DR
MCHENRY, IL
ZIP 60050
Phone: (224) 654-0210
Fax: (224) 654-0215
- Individual
- Male
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About ANUP KUMAR
This page provides the complete NPI Profile along with additional information for Anup Kumar, an internist established in Mchenry, Illinois with a medical specialization in Internal Medicine, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1548689870 assigned on April 2014. The practitioner's primary taxonomy code is 207RC0200X with license number 036141321 (IL). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1548689870
- Provider Name
- DR. ANUP KUMAR M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4201 W MEDICAL CENTER DR MCHENRY, IL 60050
- Location Phone
- (224) 654-0210
- Location Fax
- (224) 654-0215
- Mailing Address
- 4201 W MEDICAL CENTER DR MCHENRY, IL 60050
- Mailing Phone
- (224) 654-0210
- Mailing Fax
- (224) 654-0215
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-15-2014
- Last Update Date
- 03-19-2025
- Code Navigator
An internist like Anup Kumar is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1740 W Taylor St
Chicago, IL 60612
(866) 600-2273 - 10400 Haligus Rd
Huntley, IL 60142
(224) 654-0210 - 4440 W 95th St
Oak Lawn, IL 60453
(708) 684-8000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036141321
- License State
- IL
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 036.141321 (IL) |
2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Anup Kumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergent insertion of breathing tube into windpipe using an endoscope
Follow-up hospital inpatient care per day, typically 35 minutes
Insertion of artery tube for blood sampling or infusion through skin
Insertion of non-tunneled central venous tube for infusion (5 years or older)
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 262 times for 142 patientsThis is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
This service was performed 13 times for 13 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 47 times for 39 patientsThis procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
This service was performed 28 times for 27 patientsThis procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
This service was performed 43 times for 38 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60050 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. ANUP KUMAR M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 4 | 8 | 6 | 8 | 9 | 8 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 8 | 8 | 12 | 8 | 18 | 8 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 8 + 8 + 1 + 2 + 8 + 1 + 8 + 8 + 1 + 4 + 24 = 80 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1548689870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1437137023 | MRS. DEBRA A. BRASIER RPH Individual | Pharmacist | 4201 W MEDICAL CENTER DR CENTEGRA ANTICOAGULATION MANAGEMENT SERVICE MCHENRY, IL 60050 (815) 759-4744 |
1265471163 | ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C. Organization | Emergency Medicine | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 344-5000 |
1215970249 | ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C. Organization | Physician Assistant | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 344-5000 |
1851321731 | SPIRIDON G GEROLIMATOS M.D. Individual | Radiology (Diagnostic Radiology) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 344-5000 |
1871606079 | SCOTT COLBURN PA Individual | Physician Assistant | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-3100 |
1609989813 | OSCAR H HABHAB Individual | Emergency Medicine | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-3100 |
1861548257 | MRS. DOLORES ANNETTE BUDELIER RD, LDN, CDE Individual | Dietitian, Registered | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4103 |
1871768333 | REGIONAL CARDIOLOGY CONSULTANTS LTD Organization | Specialist | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 344-5000 |
1710146436 | MRS. KATHLEEN MARIE BRAUN OTR/L Individual | Occupational Therapist | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4609 |
1316210685 | DR. KANAN UDAY SHAH PHARMD Individual | Pharmacist (Pharmacotherapy) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
1467712273 | MRS. MARGARET BURNHAM MS, RD, CSSD, LDN Individual | Dietitian, Registered | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (877) 236-8347 |
1528492600 | DR. HEATHER MICHELLE SALINGER PHARMD Individual | Pharmacist (Pharmacotherapy) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
1417381054 | DR. WALTER KANG PHARMD Individual | Pharmacist (Pharmacotherapy) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
1386079010 | DR. MONICA PERRIN PHARMD Individual | Pharmacist (Pharmacotherapy) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
1215363577 | MARY C. MACNIDER R.PH. Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
1396172813 | MS. NILUBOL CENCULA RPH Individual | Pharmacist | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 344-5000 |
1013298108 | CENTEGRA CLINICAL LABORATORIES, LLC Organization | Clinical Medical Laboratory | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4800 |
1659701704 | MICHELE WILKINSON CNP Individual | Nurse Practitioner (Acute Care) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4293 |
1366823890 | PANG CHONG Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4406 |
1508248667 | BRITTANY GALLAGHER RPH Individual | Pharmacist | 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 (815) 759-4400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548689870, enumerated in the NPI registry as an "individual" on April 15, 2014
The provider is located at 4201 W Medical Center Dr Mchenry, Il 60050 and the phone number is (224) 654-0210
The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.46 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergent insertion of breathing tube into windpipe using an endoscope, Follow-up hospital inpatient care per day, typically 35 minutes, Insertion of artery tube for blood sampling or infusion through skin and Insertion of non-tunneled central venous tube for infusion (5 years or older).
This NPI record was last updated on April 15, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.