KARTHIK NUNE M.D.
NPI 1376993626
Family Medicine in Chicago, IL

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
47.91/100
CMS Quality Rating
7531 S STONY ISLAND AVE, CHICAGO, IL 60649(773) 947-7500 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karthik Nune M.d. NPPES

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

KARTHIK NUNE M.D. (NPI 1376993626) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125068546) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376993626
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARTHIK NUNECredential: M.D.
Location Address7531 S STONY ISLAND AVEChicago, IL 60649-3954
Mailing Address7531 S Stony Island AveChicago, IL 60649-3954
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 17, 2016
NPI 1376993626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125068546
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7531 S STONY ISLAND AVE, Chicago, IL 60649

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

Karthik Nune 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 ID9739411448
PECOS Enrollment IDI20211208000698
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 6

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.
224 services108 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.
97 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
18 services18 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.
15 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Madison Health

Acute Care Hospitals · London, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360189
Location210 North Main StreetLondon, OH 43140 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60649 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

47.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20
Promoting Interoperability100
Improvement Activities0
Cost56.37

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.

Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Internal Medicine (Nephrology)
7531 S STONY ISLAND AVE, SUITE 158 & 160
CHICAGO, IL 60649
General Practice
7531 S STONY ISLAND AVE, SUITE 178
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Emergency Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649

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 Karthik Nune's NPI number?

The NPI number for Karthik Nune is 1376993626. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Karthik Nune located?

Karthik Nune practices at 7531 S Stony Island Ave, Chicago, IL 60649. The listed phone number is (773) 947-7500.

What is Karthik Nune's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karthik Nune enrolled in Medicare?

Yes. Karthik Nune 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 Karthik Nune accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Kansas, Inc. and CareSource and 1 other insurer list Karthik Nune 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 Karthik Nune affiliated with any hospitals?

According to CMS data, Karthik Nune is affiliated with Ohio State University State Health System and Madison Health.

When was this NPI record last updated?

The NPPES record for Karthik Nune was last updated on June 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.