Goutham Kondapi, - Medicare Internal Medicine in Evergreen Park, IL

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Goutham Kondapi, is a medicare enrolled "Internal Medicine - Nephrology" physician in Evergreen Park, Illinois. His current practice location is 9125 S Pulaski Rd, Evergreen Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 422-7715.

Goutham Kondapi is licensed to practice in Illinois (license number 036160201) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245792175.

Contact Information

Goutham Kondapi,
9125 S Pulaski Rd,
Evergreen Park, IL 60805-1441
(708) 422-7715
(708) 422-7816

Map and Direction




Physician's Profile

Full NameGoutham Kondapi
GenderMale
SpecialityInternal Medicine - Nephrology
Location9125 S Pulaski Rd, Evergreen Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245792175
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355676818
  • Enrollment ID: I20240417001109

Medical Identifiers

Medical identifiers for Goutham Kondapi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245792175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036160201 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Goutham Kondapi allows following entities to bill medicare on his behalf.
Entity NameNephrology Associates Of Northern Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124069182
PECOS PAC ID: 2163328675
Enrollment ID: O20031208000313
Entity NameSouthwest Nephrology Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104925163
PECOS PAC ID: 1557335460
Enrollment ID: O20040825000464

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Goutham Kondapi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Goutham Kondapi,
120 W 22nd St,
Oak Brook, IL 60523-1557

Ph: (630) 573-5000		Goutham Kondapi,
9125 S Pulaski Rd,
Evergreen Park, IL 60805-1441

Ph: (708) 422-7715

Reviews and Comments


Internal Medicine Doctors in Evergreen Park, IL

Dr. Thomas Bump, M.D.
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Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    Fax: 708-346-2059
Dolores Dixon-grevious, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805
Phone: 708-389-2200    Fax: 708-389-6686
Vinitha Raghavan, M.D.
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Practice Location: 3358 W 95th St, Evergreen Park, IL 60805
Phone: 708-952-3040    Fax: 708-952-3043
Wassim Ballany, M.D.
Nephrology
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Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Dr. George Sousanieh, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805
Phone: 708-422-7715    
Dr. John H Burke, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    Fax: 708-346-2059
Dr. Richard D. Kern, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2800 W 95th St, Pulmonary Medicine Consultants, Ltd., Evergreen Park, IL 60805
Phone: 708-424-9288    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.