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DR. ROBERT GERARD KUMMERER M.D. NPI 1902891674


NPI Information

NPI: 1902891674
Provider Name: DR. ROBERT GERARD KUMMERER, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
890 GARFIELD AVE
SUITE 101
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 990-5636
Get Directions

DR. Robert Gerard Kummerer, M.D. is a thoracic surgery cardiothoracic vascular surgery in Libertyville, IL with 34 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Robert Gerard Kummerer, M.D. NPI is 1902891674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1990

The provider's business location address is:

890 GARFIELD AVE
SUITE 101
LIBERTYVILLE, IL
ZIP 60048-723
Phone: (847) 990-5636
Fax: (847) 367-1535

The NPI 1902891674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)
  • Replacement of aortic valve using artificial valve on heart-lung machine, open procedure (HCPCS:33405)

The enumeration date for this NPI number is 9/19/2005 and was last updated on 12/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery036087848ILLINOISNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)55253-20WISCONSINNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036087848ILLINOISYes
4208600000XSurgery036087848ILLINOISNo
52086S0129XSurgeryVascular Surgery55253-20WISCONSINNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036087848MEDICAIDILLINOIS
2200269890AMEDICAIDINDIANA
301618941OTHERILLINOISBCBS
4200269890BMEDICAIDINDIANA
51902891674MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.