KULSOOM LAEEQ GUNN (MD) – Trauma Surgery Physician, NPI 1235447368

KULSOOM LAEEQ GUNN (MD) is a healthcare provider. based in Carbondale, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2021013820 (MO). The NPI Number for KULSOOM LAEEQ GUNN (MD) is 1235447368

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KULSOOM LAEEQ GUNN (MD)
NPI
1235447368
Phone
(618) 457-5200
Address
1239 E MAIN ST
Enumeration Date
23 September 2010
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145696440
Graduation Year
2006 (20 years ago)
PAC ID
4082993399
Group Practice PAC ID
1658320700
Professional Enrollment ID
I20210816000180
Address ID
MO631418261SA621XXRDXX507

Contacts

Secure Messaging
klaeeq25555@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,422 GENERAL SURGERY in IL

Provider Addresses for KULSOOM LAEEQ GUNN (MD)

  • 1239 E MAIN ST

    CARBONDALE, IL 629013175

    Phone: (618) 457-5200

    Fax: (618) 529-0586

    Type: Mailing

  • 305 W JACKSON ST STE 302

    CARBONDALE, IL 62901

    Phone: (618) 457-3006

    Fax: (618) 457-3007

    Type: Location

  • 621 S NEW BALLAS RD STE 560A

    SAINT LOUIS, MO 631418261

    Phone: (314) 251-6440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $4,987.

Total Amount is formed as General ($4,987) + Research ($0) + Ownership ($0) = $4,987.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$4,987

General + Research + Ownership

Payments

22

Total payment records

General Amount

$4,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210816000180IGeneral SurgeryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5033$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4827$0
99291Critical care, first 30-74 minutes2611$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658320700View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
Physician AssistantIL
Physician AssistantMO

Reviews

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Frequently asked questions

Does KULSOOM LAEEQ GUNN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KULSOOM LAEEQ GUNN (MD) uses 1235447368.
Does CMS list KULSOOM LAEEQ GUNN (MD) as active?
Yes — KULSOOM LAEEQ GUNN (MD) is active in the NPI listing used on this page.
What healthcare role does KULSOOM LAEEQ GUNN (MD) hold?
Scheduling teams often label KULSOOM LAEEQ GUNN (MD) under Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
Does KULSOOM LAEEQ GUNN (MD) list a practice location?
Patients near Carbondale, Illinois may find KULSOOM LAEEQ GUNN (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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