MERIAM KANIKUNNEL PA-C
NPI 1154876217
Physician Assistant in Libertyville, IL

Q: What is Meriam Kanikunnel's NPI number?

The NPI number for Meriam Kanikunnel is 1154876217. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Q: What is Meriam Kanikunnel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Meriam Kanikunnel was last updated on April 26, 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.

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2021, Aug 10, 2020, Aug 18, 2016 (3 updates tracked since 2016).

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About Meriam Kanikunnel Pa-c NPPES

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

MERIAM KANIKUNNEL PA-C (NPI 1154876217) is an individual physician assistant in Libertyville, Illinois, licensed in Illinois (085.005940) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154876217

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMERIAM KANIKUNNELCredential: PA-C

Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204

Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755

Phone(414) 290-6720

Fax(414) 290-6755

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 18, 2016

Last NPPES UpdateApril 26, 20213 updates tracked since enumeration

NPPES CertifiedApril 26, 2021

✔ NPI 1154876217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.005940

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

801 S MILWAUKEE AVE, Libertyville, IL 60048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Meriam Kanikunnel Pa-c 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 ID7517247166

PECOS Enrollment IDI20161216002201

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 2

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.

24 services22 patients

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.

14 services11 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

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.

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.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 20

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

DR. ANNA MAE STEGEMANN D.O.

Anesthesiology

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2135

MAUREEN FRITZ DPT

Physical Therapist

801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048

Lake County (847) 990-5350

DR. DEAN JOSEPH CONTERATO MD

Radiology (Radiation Oncology)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5910

GLORIA BOLAND BSN, RN, CDCES

Registered Nurse (Diabetes Educator)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5579

CONDELL MEDICAL CENTER

General Acute Care Hospital

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

MARINA LYUBKIN

Nurse Practitioner

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

IHC-LIBERTYVILLE EMERGENCY PHYSICIANS, LLC

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (414) 290-6718

DR. DIMITRIOS T. MOUGOLIAS M.D.

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2075

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 Meriam Kanikunnel's NPI number?

The NPI number for Meriam Kanikunnel is 1154876217. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Meriam Kanikunnel located?

Meriam Kanikunnel practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (414) 290-6720.

What is Meriam Kanikunnel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Meriam Kanikunnel enrolled in Medicare?

Yes. Meriam Kanikunnel 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.

What insurance does Meriam Kanikunnel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Meriam Kanikunnel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Meriam Kanikunnel affiliated with any hospitals?

According to CMS data, Meriam Kanikunnel is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Meriam Kanikunnel was last updated on April 26, 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.