Girija Kumar, M.D.
NPI 1861486250 · Internal Medicine Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Girija Kumar, M.D. is a Internal Medicine Physician provider in Chicago, IL (NPI 1861486250).
Provider details
- NPI number
- 1861486250
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036-091930 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
157 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $130 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 39 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 | $92 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $133 |
| Administration of Influenza Virus VaccineG0008 | 12 | $34 |
Typical Medicare-allowed amounts for these services range $17–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 189 | 59 |
| Atorvastatin Calcium | 142 | 46 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 84 | 13 |
| Lisinopril | 73 | 22 |
| Metoprolol Succinate | 60 | 15 |
| Losartan Potassium | 60 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2011-10-05
Frequently asked questions
- What is Girija Kumar's NPI number?
- Girija Kumar's National Provider Identifier (NPI) is 1861486250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Girija Kumar's specialty?
- Girija Kumar is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Girija Kumar located?
- Girija Kumar's practice location on file with NPPES is 1501 S California Ave, Chicago, IL 60608-1732.
- What is Girija Kumar's phone number?
- The practice phone number listed in the NPPES registry for Girija Kumar is (773) 257-6552.
- Does Girija Kumar accept Medicare?
- Girija Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Girija Kumar's NPI active?
- Yes — Girija Kumar's NPI (1861486250) is active in the NPPES registry as of the last update on 2011-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.