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DR. PRAFULLA K KONERU M.D
NPI 1093700072
Obstetrics & Gynecology in South Barrington, IL

Active since September 15, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 14D0693804 · Microscopy
5 EXECUTIVE COURT, SUITE 1, SOUTH BARRINGTON, IL 60010(847) 382-8200(847) 382-8210 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prafulla K Koneru M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRAFULLA K KONERU M.D (NPI 1093700072) is an individual obstetrics & gynecology provider in South Barrington, Illinois, licensed in Illinois (036052132) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through March 6, 2028, and is affiliated with Alexian Brothers Medical Center 1.

NPPES Registry Identity

NPI1093700072
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PRAFULLA K KONERUCredential: M.D
Location Address5 EXECUTIVE COURT, SUITE 1South Barrington, IL 60010
Mailing Address5 Executive Court, Suite 1South Barrington, IL 60010 · (847) 382-8200 · Fax (847) 382-8210
Phone(847) 382-8200
Fax(847) 382-8210
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1093700072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036052132
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 036052132 (IL)
5 EXECUTIVE COURT, South Barrington, IL 60010
Open in Google Maps ↗

Other Identifiers 1

Medicaid036052132IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prafulla K Koneru M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496806812
PECOS Enrollment IDI20090625000132
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0693804

Prafulla K Koneru MD Sc · South Barrington, IL
Active · expires Mar 6, 2028
CLIA Number14D0693804
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorPrafulla K. Koneru MD
Laboratory Phone(847) 382-8200
Laboratory LocationPrafulla K Koneru MD ScS Executive Court Ste 1, South Barrington, IL 60010
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services39 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
25 services23 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
17 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL B CHIN DDS
Dentist
5 EXECUTIVE COURT, SUITE #3
SOUTH BARRINGTON, IL 60010
Cook County (847) 382-8889
DR. SHIN SHIN LEE DDS
Dentist
5 EXECUTIVE COURT, SUITE #3
SOUTH BARRINGTON, IL 60010
Cook County (847) 382-8889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prafulla Koneru's NPI number?

The NPI number for Prafulla Koneru is 1093700072. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Prafulla Koneru located?

Prafulla Koneru practices at 5 Executive Court Suite 1, South Barrington, IL 60010. The listed phone number is (847) 382-8200.

What is Prafulla Koneru's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prafulla Koneru enrolled in Medicare?

Yes. Prafulla Koneru is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Prafulla Koneru hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0693804) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Prafulla Koneru affiliated with any hospitals?

According to CMS data, Prafulla Koneru is affiliated with Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Prafulla Koneru was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.