KANINIKA VERMA MD
NPI 1265503429
Internal Medicine - Pulmonary Disease in Peoria, IL

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST, SUITE 200, PEORIA, IL 61606(309) 672-5682(309) 672-3147 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaninika Verma Md NPPES

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

KANINIKA VERMA MD (NPI 1265503429) is an individual pulmonary disease provider in Peoria, Illinois, licensed in Illinois (036129385) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265503429
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKANINIKA VERMACredential: MD
Location Address1001 MAIN ST, SUITE 200Peoria, IL 61606-1907
Mailing Address1001 Main St, Suite 200Peoria, IL 61606-1907 · (309) 672-5682 · Fax (309) 672-3147
Fax(309) 672-3147
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 10, 2006
Last NPPES UpdateFebruary 10, 2012
NPI 1265503429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 036129385
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036129385 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036129385 (IL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036129385 (IL)
1001 MAIN ST, Peoria, IL 61606

Other Identifiers 3

MedicaidPENDINGNM
Medicare UPINPENDINGNM
Medicare ID-Type UnspecifiedPENDINGNM

Accepted 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

Kaninika Verma Md 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 ID1052313889
PECOS Enrollment IDI20120402000619
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 10

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 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.
138 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
124 services58 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.
119 services104 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
107 services107 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
102 services90 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.
84 services78 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 26

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
19 suppliers256 claims256 services$39.93 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers198 claims198 services$101.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers194 claims470 services$40.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers72 claims362 services$21.60 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers50 claims243 services$16.03 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
17 suppliers127 claims127 services$62.74 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.

Internal Medicine (Critical Care Medicine)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606

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 Kaninika Verma's NPI number?

The NPI number for Kaninika Verma is 1265503429. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kaninika Verma located?

Kaninika Verma practices at 1001 Main St Suite 200, Peoria, IL 61606. The listed phone number is (309) 672-5682.

What is Kaninika Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kaninika Verma enrolled in Medicare?

Yes. Kaninika Verma 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 Kaninika Verma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kaninika Verma 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 Kaninika Verma affiliated with any hospitals?

According to CMS data, Kaninika Verma is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Osf Saint Paul Medical Center and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Kaninika Verma was last updated on February 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.