Active NPI 1457517005 Individual Practitioner Male Practitioner

Dr. Ashwin Kumar , MD

Family Medicine • Aurora, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ashwin Kumar, MD is a certified Family Medicine practicing in Aurora, IL. With approximately 19 years of clinical experience since graduating from Rush Medical College Of Rush University in 2007, Dr. Kumar delivers high-quality medical care to the local community at 2285 SEQUOIA DR.

Dr. Kumar is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2285 Sequoia Dr

Aurora, IL 605066209

Telephone 6308596700

Associated Practice Facility / Clinic

🏢 Dreyer Clinic, Inc. Facility NPI 1184718355

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Aurora, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.1 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

123 Specialists

Practicing in Aurora, IL (6517 Statewide)

Telehealth Adoption Rate

22.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (19 Years) 19 Yrs

Aurora Specialty Average (22.1 Years) 22.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	517	283	$22.00	$8.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	297	$279.00	$130.56
85610 Blood test, clotting time	444	111	$34.00	$4.20
93793 Anticoagulant management of patient taking warfarin	424	111	$26.00	$11.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	259	259	$332.00	$131.38
G2211 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's	213	168	$35.00	$16.49
G0008 Administration of influenza virus vaccine	87	83	$60.00	$33.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	71	$394.00	$181.75
90662 Influenza vaccine split virus, preservative free	84	80	$125.00	$79.55
91322 Sarscov2 vac 50 mcg/0.5ml im	65	62	$250.00	$151.48
90480 Admn sarscov2 vacc 1 dose	65	62	$85.00	$43.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	36	$67.00	$23.94
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$82.00	$14.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$168.00	$55.00
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$487.00	$290.24
G0009 Administration of pneumococcal vaccine	19	19	$60.00	$33.45
99495 Transitional care management services for problem of at least moderate complexity	19	17	$507.00	$200.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$498.00	$168.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	304	$259.00	$131.20
36415 Insertion of needle into vein for collection of blood sample	494	293	$22.00	$8.34
93793 Anticoagulant management of patient taking warfarin	449	135	$26.00	$11.84
85610 Blood test, clotting time	431	138	$34.00	$4.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$316.00	$131.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	85	$366.00	$180.50
G0008 Administration of influenza virus vaccine	75	75	$55.67	$32.05
90662 Influenza vaccine split virus, preservative free	71	71	$115.18	$71.64
G0009 Administration of pneumococcal vaccine	41	41	$47.39	$32.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	41	41	$386.46	$281.95
93000 Routine ekg using at least 12 leads including interpretation and report	34	31	$82.00	$15.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	24	$63.00	$24.25
99495 Transitional care management services for problem of at least moderate complexity	14	12	$482.00	$183.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$168.00	$50.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	573	316	$235.00	$130.26
93793 Anticoagulant management of patient taking warfarin	378	130	$26.00	$11.77
85610 Blood test, clotting time	377	134	$34.00	$4.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	257	257	$316.00	$133.12
36415 Insertion of needle into vein for collection of blood sample	86	80	$22.00	$2.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	63	$332.00	$188.05
G0008 Administration of influenza virus vaccine	65	64	$41.00	$31.17
90662 Influenza vaccine split virus, preservative free	58	57	$73.00	$68.14
G0009 Administration of pneumococcal vaccine	54	54	$41.00	$30.74
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	35	35	$346.00	$270.91
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$82.00	$15.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	22	$63.00	$24.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$474.00	$175.18
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$164.00	$133.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	556	287	$224.00	$135.11
85610 Blood test, clotting time	282	118	$34.00	$4.29
93793 Anticoagulant management of patient taking warfarin	268	117	$26.00	$11.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$316.00	$136.34
G0008 Administration of influenza virus vaccine	80	78	$41.00	$17.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	59	$317.68	$184.72
90662 Influenza vaccine split virus, preservative free	66	66	$73.00	$64.27
93000 Routine ekg using at least 12 leads including interpretation and report	47	43	$82.00	$15.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$474.00	$170.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$159.00	$118.56
G0009 Administration of pneumococcal vaccine	21	21	$41.00	$17.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$63.00	$24.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$37.00	$19.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$341.00	$167.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$168.00	$56.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	242	$211.74	$110.91
85610 Blood test, clotting time	289	135	$34.00	$4.24
93793 Anticoagulant management of patient taking warfarin	280	128	$26.00	$12.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$316.00	$119.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$36.85	$19.51
G0008 Administration of influenza virus vaccine	65	65	$41.00	$17.72
99442 Telephone medical discussion with physician, 11-20 minutes	59	54	$102.00	$78.42
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$146.00	$78.17
99441 Telephone medical discussion with physician, 5-10 minutes	25	24	$63.00	$47.71
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$82.00	$18.34
G0009 Administration of pneumococcal vaccine	19	19	$41.00	$17.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$156.41	$119.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$474.00	$158.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$310.27	$145.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$353.00	$175.50
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$93.00	$46.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	426	218	$203.00	$112.05
85610 Blood test, clotting time	289	150	$34.00	$4.27
93793 Anticoagulant management of patient taking warfarin	257	133	$26.00	$12.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$316.19	$121.39
99213 Established patient office or other outpatient visit, typically 15 minutes	112	101	$136.00	$77.00
G0008 Administration of influenza virus vaccine	44	44	$41.00	$17.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	44	$35.00	$18.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	39	39	$98.00	$18.49
93000 Routine ekg using at least 12 leads including interpretation and report	23	20	$82.00	$18.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$349.00	$175.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$474.00	$155.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$168.00	$56.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	551	240	$199.99	$110.89
85610 Blood test, clotting time	426	200	$34.00	$4.75
93793 Anticoagulant management of patient taking warfarin	387	220	$26.00	$12.57
36415 Insertion of needle into vein for collection of blood sample	383	196	$22.00	$2.94
80061 Blood test, lipids (cholesterol and triglycerides)	232	180	$96.00	$16.01
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	201	170	$45.79	$9.32
80053 Blood test, comprehensive group of blood chemicals	192	169	$75.53	$12.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$316.00	$118.96
84443 Blood test, thyroid stimulating hormone (TSH)	163	155	$108.00	$20.33
83036 Hemoglobin A1C level	137	86	$64.00	$11.60
80048 Blood test, basic group of blood chemicals (calcium, total)	99	70	$58.97	$10.23
G0103 Prostate cancer screening; prostate specific antigen test (psa)	82	82	$102.87	$22.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	70	64	$41.56	$20.59
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	62	$35.00	$18.65
G0008 Administration of influenza virus vaccine	65	62	$42.22	$21.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	40	$284.66	$152.60
82570 Creatinine level to test for kidney function or muscle injury	37	35	$46.00	$6.26
82043 Urine microalbumin (protein) level	37	35	$65.78	$7.00
83540 Iron level	34	31	$31.47	$7.83
83550 Iron binding capacity	34	31	$47.71	$10.57
82728 Ferritin (blood protein) level	34	32	$89.00	$16.49
82607 Cyanocobalamin (vitamin B-12) level	34	33	$115.00	$18.24
G0009 Administration of pneumococcal vaccine	33	33	$36.03	$21.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$59.45	$21.62
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$73.33	$17.96
82746 Folic acid level	26	26	$99.00	$17.79
81001 Manual urinalysis test with examination using microscope, automated	25	16	$27.00	$3.84
82306 Vitamin d-3 level	23	23	$216.17	$35.82
90670 Pneumococcal vaccine for injection into muscle	22	22	$254.77	$200.45
83721 Ldl cholesterol level	22	20	$54.09	$11.54
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	15	$43.63	$7.82
85007 Microscopic examination for white blood cells with manual cell count	19	15	$34.47	$4.16
87086 Bacterial colony count, urine	19	14	$53.79	$9.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$474.00	$180.04
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$127.53	$77.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$226.43	$161.83
87340 Detection test for Hepatitis B surface antigen	14	14	$57.29	$12.49
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$132.45	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	217	$193.00	$112.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	420	229	$47.46	$21.03
36415 Insertion of needle into vein for collection of blood sample	408	189	$22.00	$2.94
80061 Blood test, lipids (cholesterol and triglycerides)	235	157	$96.00	$13.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	183	150	$45.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	169	150	$75.00	$11.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$316.00	$119.63
83036 Hemoglobin A1C level	143	74	$64.00	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	137	118	$108.00	$22.59
80048 Blood test, basic group of blood chemicals (calcium, total)	123	82	$58.00	$8.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	79	79	$105.00	$24.42
85610 Blood test, clotting time	74	26	$34.00	$5.28
82570 Creatinine level to test for kidney function or muscle injury	61	47	$46.00	$6.96
82043 Urine microalbumin (protein) level	61	47	$58.00	$7.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	49	48	$35.00	$18.65
G0008 Administration of influenza virus vaccine	49	48	$31.00	$26.65
84460 Liver enzyme (sgpt), level	45	33	$30.00	$3.24
84450 Liver enzyme (sgot), level	45	33	$30.00	$3.24
G0009 Administration of pneumococcal vaccine	39	39	$31.00	$26.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	31	$277.00	$151.77
83550 Iron binding capacity	36	28	$47.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$124.00	$75.37
82728 Ferritin (blood protein) level	36	28	$89.00	$18.33
83540 Iron level	36	28	$31.00	$8.70
82607 Cyanocobalamin (vitamin B-12) level	30	28	$115.00	$20.27
90670 Pneumococcal vaccine for injection into muscle	30	30	$211.00	$184.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$474.00	$178.71
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$69.00	$18.01
82746 Folic acid level	23	21	$99.00	$19.77
82306 Vitamin d-3 level	23	19	$215.00	$39.80
85007 Microscopic examination for white blood cells with manual cell count	22	16	$29.00	$4.62
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	22	16	$43.00	$8.69
83721 Ldl cholesterol level	20	15	$53.00	$12.83
81001 Manual urinalysis test with examination using microscope, automated	19	14	$27.00	$4.26
80076 Liver function blood test panel	15	13	$64.00	$9.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$206.00	$173.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$156.00	$56.55
81003 Automated urinalysis test	11	11	$20.00	$3.02
87340 Detection test for Hepatitis B surface antigen	11	11	$57.00	$13.89

Medical Specialties & State Licenses

CMS Verified: 2026-06-26

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License IL 036-125229

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036125229 (IL)

Commercial Insurance / Payer ID Bcbs#

04515143 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

2285 Sequoia Dr, Aurora, IL 605066209

Phone: 6308596800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

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Social Worker - Clinical

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Licensed Clinical Social Worker, Licensed Independent Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2026

Family Medicine (License #036-125229 in IL)

📍

Updated Business Mailing Address March 26, 2025

Registered at 28594 NETWORK PL, CHICAGO, IL 606731285 (Tel: 6308596800)

✅

NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2016

Registered at 2285 SEQUOIA DR, AURORA, IL 605066209 (Tel: 6308596700)

📍

Updated Business Mailing Address July 14, 2016

Registered at 2357 SEQUOIA DR, AURORA, IL 605066222 (Tel: 6308596800)

👤

Provider Name / Credentials Updated July 14, 2016

Recorded as ASHWIN KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Family Medicine (License #036-125229 in IL)

🟢

Initial NPI Registration & Enumeration August 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457517005

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2008

Last Update: June 26, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

28594 Network Pl

Chicago, IL 606731285

Phone: 6308596800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.