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GOUTHAM KONDAPI
NPI 1245792175
Internal Medicine - Nephrology in Evergreen Park, IL

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
9125 S PULASKI RD, EVERGREEN PARK, IL 60805(708) 422-7715(708) 422-7816 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Sep 4, 2024, Jul 31, 2024 and 2 more (5 updates tracked since 2019).

About Goutham Kondapi NPPES

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

GOUTHAM KONDAPI (NPI 1245792175) is an individual nephrology provider in Evergreen Park, Illinois, licensed in Illinois (036160201) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245792175
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGOUTHAM KONDAPI
Location Address9125 S PULASKI RDEvergreen Park, IL 60805-1441
Mailing Address120 W 22nd StOak Brook, IL 60523-1557 · (630) 573-5000
Phone(708) 422-7715
Fax(708) 422-7816
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2019
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1245792175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036160201
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
9125 S PULASKI RD, Evergreen Park, IL 60805
Open in Google Maps ↗

Secondary Practice Locations 3

Location 122201 Moross Rd Ste 50Detroit, MI 48236-2166 · Phone (313) 343-7774 · Fax (313) 343-8747
Location 25841 S Maryland Ave # Mc5100Chicago, IL 60637-1443 · Phone (773) 702-3630
Location 316605 S 107th CourtOrland Park, IL 60467 · Phone (708) 226-9860 · Fax (708) 226-9864

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Goutham Kondapi 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 ID1355676818
PECOS Enrollment IDI20240417001109
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Goutham Kondapi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Nephrology Associates, S.C.
13 mi
Ambulatory Surgical
16605 107TH ST
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1104925163 (708) 226-9860
Nephrology Associates Of Northern Illinois, Ltd.
13 mi
Nephrology
120 W 22ND ST STE 200
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 161 clinicians in this Medicare group
NPI 1124069182 (630) 575-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
327 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
181 services59 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.
40 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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.

Other Providers at the Same Location NPPES 19

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

DR. GEORGE SOUSANIEH MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DR. AMISHI PATEL MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DR. NEIL D YBANEZ MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
MRS. VANESSA ELIZABETH GALLOWAY MSN, APRN, FNP-BC
Nurse Practitioner (Family)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DR. PRIYA BHATIA RAJU MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
KELLY E GUGLIELMI M.D.
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DR. EJIKEME O OBASI MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715
DR. ABRAHAM THOMAS MD
Internal Medicine (Nephrology)
9125 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 422-7715

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 Goutham Kondapi's NPI number?

The NPI number for Goutham Kondapi is 1245792175. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Goutham Kondapi located?

Goutham Kondapi practices at 9125 S Pulaski Rd, Evergreen Park, IL 60805. The listed phone number is (708) 422-7715.

What is Goutham Kondapi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Goutham Kondapi enrolled in Medicare?

Yes. Goutham Kondapi 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.

Which organizations bill Medicare for Goutham Kondapi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Goutham Kondapi reassigns Medicare benefits to 2 organizations: Southwest Nephrology Associates, S.C. (Orland Park, IL) and Nephrology Associates Of Northern Illinois, Ltd. (Oak Brook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Goutham Kondapi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Goutham Kondapi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Goutham Kondapi 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 Goutham Kondapi affiliated with any hospitals?

According to CMS data, Goutham Kondapi is affiliated with Palos Community Hospital, Osf Little Company Of Mary Medical Center, Advocate Christ Hospital & Medical Center, Silver Cross Hospital And Medical Centers and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Goutham Kondapi was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.