KAREN CHOI
NPI 1265832240
Dentist - General Practice in Carbondale, IL

Active since August 27, 2014Opted out of Medicare · through Aug 20, 2027
1111 E WALNUT ST STE B, CARBONDALE, IL 62901(618) 529-2571 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Karen Choi NPPES

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

KAREN CHOI (NPI 1265832240) is an individual general practice provider in Carbondale, Illinois, licensed in New York (057489) and active in the NPI registry since August 2014. She has opted out of Medicare through August 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265832240
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKAREN CHOI
Location Address1111 E WALNUT ST STE BCarbondale, IL 62901-5000
Mailing Address1111 E Walnut St Ste BCarbondale, IL 62901-5000
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
NPI 1265832240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in NY · 057489 Licensed in IL · 019032848
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1111 E WALNUT ST STE B, Carbondale, IL 62901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Karen Choi has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2021 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2021
Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
1111 E WALNUT ST STE B
CARBONDALE, IL 62901
Dentist (Oral and Maxillofacial Surgery)
1111 E WALNUT ST STE B
CARBONDALE, IL 62901

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 Karen Choi's NPI number?

The NPI number for Karen Choi is 1265832240. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Karen Choi located?

Karen Choi practices at 1111 E Walnut St Ste B, Carbondale, IL 62901. The listed phone number is (618) 529-2571.

What is Karen Choi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Karen Choi enrolled in Medicare?

No. Karen Choi has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Karen Choi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Karen Choi 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.

When was this NPI record last updated?

The NPPES record for Karen Choi was last updated on August 11, 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.