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

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  • 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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

036.141321 (IL)
2390200000XStudent, 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

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 patients

Emergent insertion of breathing tube into windpipe using an endoscope

This 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 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-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 patients

Insertion of artery tube for blood sampling or infusion through skin

This 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 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older)

This 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 patients

Physician 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.

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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.
1548689870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812818814
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
1437137023MRS. DEBRA A. BRASIER RPH
Individual
Pharmacist4201 W MEDICAL CENTER DR CENTEGRA ANTICOAGULATION MANAGEMENT SERVICE
MCHENRY, IL 60050
(815) 759-4744
1265471163ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C.
Organization
Emergency Medicine4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 344-5000
1215970249ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C.
Organization
Physician Assistant4201 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 Assistant4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-3100
1609989813 OSCAR H HABHAB
Individual
Emergency Medicine4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-3100
1861548257MRS. DOLORES ANNETTE BUDELIER RD, LDN, CDE
Individual
Dietitian, Registered4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-4103
1871768333REGIONAL CARDIOLOGY CONSULTANTS LTD
Organization
Specialist4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 344-5000
1710146436MRS. KATHLEEN MARIE BRAUN OTR/L
Individual
Occupational Therapist4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-4609
1316210685DR. KANAN UDAY SHAH PHARMD
Individual
Pharmacist (Pharmacotherapy)4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-4400
1467712273MRS. MARGARET BURNHAM MS, RD, CSSD, LDN
Individual
Dietitian, Registered4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(877) 236-8347
1528492600DR. HEATHER MICHELLE SALINGER PHARMD
Individual
Pharmacist (Pharmacotherapy)4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-4400
1417381054DR. WALTER KANG PHARMD
Individual
Pharmacist (Pharmacotherapy)4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 759-4400
1386079010DR. 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
1396172813MS. NILUBOL CENCULA RPH
Individual
Pharmacist4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
(815) 344-5000
1013298108CENTEGRA CLINICAL LABORATORIES, LLC
Organization
Clinical Medical Laboratory4201 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
Pharmacist4201 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.