| Sumana Kumpuckal, MD | |
|
812 N Logan Ave, Danville, IL 61832-3752 | |
| (217) 443-5000 | |
| Not Available |
| Full Name | Sumana Kumpuckal |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 812 N Logan Ave, Danville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275632812 | NPI | - | NPPES |
| 36110158001 | Medicaid | IL | |
| 9232012 | Other | IL | BCBS |
| DA4244 | Other | IL | RR MEDICARE PIN |
| P00102294 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME140490 (Florida) | Primary |
| 207L00000X | Anesthesiology | 036110158 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Services Of Florida Inc | 1850674540 | 118 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Anesthesia & Pain Consultants Of Sw Fl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609843275 PECOS PAC ID: 4082507835 Enrollment ID: O20040205000201 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Mailing Address | Practice Location Address |
|---|---|
| Sumana Kumpuckal, MD Po Box 532904, Atlanta, GA 30353-2904 Ph: (217) 443-5000 | Sumana Kumpuckal, MD 812 N Logan Ave, Danville, IL 61832-3752 Ph: (217) 443-5000 |
Suguna Siramdasu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 | |
Kenneth Irwin Schlesinger, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5448 | |
Cynthia Nkana, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 | |
Steven I Schmidt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 Phone: 217-554-1700 Fax: 217-554-1704 | |
Dr. Yan-ho Liem, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1900 E Main, Danville, IL 61832 Phone: 217-554-5450 | |
Dong Koo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 |