NITIN KUMAR (MD) – Gastroenterology Physician, NPI 1104002245
Gastroenterology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for NITIN KUMAR (MD)
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 624012121
Phone: (217) 540-2350
Fax: (217) 347-2323
Type: Location
West Lake Street, Addison, DuPage County, Illinois, 60101, United States
SUITE 101
ADDISON, IL 601015767
Phone: (630) 387-9362
Fax: (877) 549-0515
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,244.
Total Amount is formed as General ($1,244) + Research ($0) + Ownership ($0) = $1,244.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($495).
Total Amount
$1,244
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $495 |
| ABBVIE INC. | $203 |
| Gilead Sciences, Inc. | $121 |
| Phathom Pharmaceuticals, Inc. | $117 |
| Takeda Pharmaceuticals U.S.A., Inc. | $116 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170615000245 | I | Gastroenterology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 170 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 93 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 62 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 37 | 37 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | 35 | $0 |
Insurance plans in this area (ZIP 62401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| General Surgery | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL |
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