Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Vivek Kaistha, MD

Individual provider Internal Medicine Physician · NPI 1053311407

Dr. Vivek Kaistha, MD is an Internal Medicine in Tinley Park, Illinois. Qualified in 1982, 44 years ago. Practices with Ucm Medical Group Sub LLC, a 99-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
44
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6703 159th St 103
Tinley Park, IL 60477-1781
Phone: (708) 342-3000
Fax: (708) 342-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 S Stony Island Ave, Chicago, IL 60617-3508 — (773) 731-0670

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036088189 (IL)

Record details

NPI number1053311407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Ucm Medical Group Sub Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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