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GOPIKA CHANDRA MD, PHD
NPI 1104114826
Internal Medicine in Chicago, IL

Active since July 14, 2011PECOS EnrolledAccepts Medicare Assignment
1150 W FULLERTON AVE, CHICAGO, IL 60614(773) 549-7757 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gopika Chandra Md, Phd NPPES

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

GOPIKA CHANDRA MD, PHD (NPI 1104114826) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125059423) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1104114826
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGOPIKA CHANDRACredential: MD, PHD
Location Address1150 W FULLERTON AVEChicago, IL 60614-8160
Mailing Address2900 N Lake Shore DrChicago, IL 60657-5640
Phone(773) 549-7757
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 14, 2011
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1104114826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 125059423✔ Licensed in IL · 036.134266
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1150 W FULLERTON AVE, Chicago, IL 60614
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Secondary Practice Location 1

Location 12900 N Lake Shore DrChicago, IL 60657-5640 · Phone (773) 665-3000

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

Gopika Chandra Md, Phd 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 ID2961628797
PECOS Enrollment IDI20140730002522
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.

Areas of Expertise CMS Part B claims 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services77 patients
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.
64 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
84%44 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%39 patients3/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
7%29 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims113 services$5.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims20 services$0.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$67.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

SAGE MEDICAL GROUP, SC
Internal Medicine
1150 W FULLERTON AVE, 2ND FLOOR
CHICAGO, IL 60614
Cook County (773) 549-7757
ELIZABETH STAPLETON APN
Nurse Practitioner (Family)
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
DR. LUCIA GLEASON M.D.
Family Medicine
1150 W FULLERTON AVE, FLOOR 2
CHICAGO, IL 60614
Cook County (773) 549-7757
PAULETTE C WILSON M.D.
Internal Medicine
1150 W FULLERTON AVE, 2ND FLR
CHICAGO, IL 60614
Cook County (773) 549-7757
MARILYN SUE ADEN MD
Internal Medicine
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
MICHAEL D BALDINGER M.D.
Internal Medicine (Addiction Medicine)
1150 W FULLERTON AVE, 2ND FLR
CHICAGO, IL 60614
Cook County (773) 549-7757
ELISABETH KLOR GROSS MD
Internal Medicine
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
NORA M CLARKE FNP
Nurse Practitioner (Family)
1150 W FULLERTON AVE, 2ND FLOOR
CHICAGO, IL 60614
Cook County (773) 549-7757

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 Gopika Chandra's NPI number?

The NPI number for Gopika Chandra is 1104114826. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Gopika Chandra located?

Gopika Chandra practices at 1150 W Fullerton Ave, Chicago, IL 60614. The listed phone number is (773) 549-7757.

What is Gopika Chandra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gopika Chandra enrolled in Medicare?

Yes. Gopika Chandra 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.

Is Gopika Chandra affiliated with any hospitals?

According to CMS data, Gopika Chandra is affiliated with Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Gopika Chandra was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.