DR. RONEIL MALKANI M.D.
NPI 1194981472
Psychiatry & Neurology - Sleep Medicine in Chicago, IL

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
251 E HURON ST, CHICAGO, IL 60611(312) 503-1398 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roneil Malkani M.d. NPPES

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

DR. RONEIL MALKANI M.D. (NPI 1194981472) is an individual sleep medicine provider in Chicago, Illinois, licensed in Illinois (036121368) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of George Washington University School Of Medicine (2004).

NPPES Registry Identity

NPI1194981472
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDR. RONEIL MALKANICredential: M.D.
Location Address251 E HURON STChicago, IL 60611-2908
Mailing Address710 N Lake Shore Dr, Abbott Hall, #1115Chicago, IL 60611-3006 · (312) 503-1398
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2004
Enumeration DateAugust 5, 2008
Last NPPES UpdateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
NPI 1194981472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in IL · 036121368
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036121368 (IL)
251 E HURON ST, Chicago, IL 60611

Other Identifiers 1

Other036121368IL · State License Number

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. Roneil Malkani 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 ID3678732229
PECOS Enrollment IDI20120316000666
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 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.
61 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers157 claims157 services$32.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers86 claims86 services$71.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers90 claims247 services$28.90 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers55 claims317 services$13.77 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers52 claims264 services$13.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers107 claims107 services$45.01 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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611

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 Roneil Malkani's NPI number?

The NPI number for Roneil Malkani is 1194981472. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Roneil Malkani located?

Roneil Malkani practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (312) 503-1398.

What is Roneil Malkani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Roneil Malkani enrolled in Medicare?

Yes. Roneil Malkani 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 Roneil Malkani affiliated with any hospitals?

According to CMS data, Roneil Malkani is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Roneil Malkani was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.