DR. KUMUD DAHAL (MD) – Infectious Disease Physician, NPI 1417102617

DR. KUMUD DAHAL (MD) is a healthcare provider. based in Peoria, Illinois. specializing in INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. ME134136 (FL). The NPI Number for DR. KUMUD DAHAL (MD) is 1417102617

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KUMUD DAHAL (MD)
NPI
1417102617
Phone
(718) 753-7873
Address
One Illini dr
Enumeration Date
2 December 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074231039
Graduation Year
2007 (19 years ago)
PAC ID
2466694831
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20171214000762
Address ID
FL328061015OR1012XTERX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

475 INFECTIOUS DISEASE in IL

Provider Addresses for DR. KUMUD DAHAL (MD)

  • One Illini dr

    Box 1649

    Peoria, IL 616561649

    Phone: (718) 753-7873

    Type: Location

  • 1012, Lucerne Terrace, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328061015

    Phone: (407) 423-1039

    Fax: (407) 425-2347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($119).

Total Amount

$151

General + Research + Ownership

Payments

3

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$119
Insmed, Inc.$32
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: 2017-12-14

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
I20171214000762IInfectious DiseaseFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes231168$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes199187$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes154116$0
99214Established patient office or other outpatient visit, 30-39 minutes5132$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3925$0
View full utilization report →

Insurance plans in this area (ZIP 61656)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

How is DR. KUMUD DAHAL (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KUMUD DAHAL (MD) with NPI 1417102617.
Does the file indicate DR. KUMUD DAHAL (MD) is practicing under active NPI?
Directory data currently reports DR. KUMUD DAHAL (MD) as active.
What taxonomy line describes DR. KUMUD DAHAL (MD)?
For research purposes, treat DR. KUMUD DAHAL (MD) as Infectious Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KUMUD DAHAL (MD) serve?
DR. KUMUD DAHAL (MD)'s listing highlights Peoria, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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