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NIDHI KANSAL M.D.
NPI 1396034484
Internal Medicine in Chicago, IL

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
676 N ST CLAIR, SUITE 2300, CHICAGO, IL 60611(312) 926-6000(312) 926-5971 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nidhi Kansal M.d. NPPES

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

NIDHI KANSAL M.D. (NPI 1396034484) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036135615) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Indiana University School Of Medicine (2011).

NPPES Registry Identity

NPI1396034484
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIDHI KANSALCredential: M.D.
Location Address676 N ST CLAIR, SUITE 2300Chicago, IL 60611-2922
Mailing Address259 E Erie St, Suite 2230Chicago, IL 60611-2987 · (312) 926-6000 · Fax (312) 926-8267
Phone(312) 926-6000
Fax(312) 926-5971
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateMay 12, 2016
✔ NPI 1396034484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036135615✔ Licensed in IL · 125060483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
676 N ST CLAIR, Chicago, IL 60611
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Other Identifiers 1

Medicare PINF400160013IL

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

Nidhi Kansal 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 ID941428296
PECOS Enrollment IDI20140827002481
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 8

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.
228 services144 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.
81 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 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.
20 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

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 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims67 services$1.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers31 claims31 services$29.17 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 11

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

MRS. LISA F ROSENBERG MD
Ophthalmology
676 N ST CLAIR, #1500
CHICAGO, IL 60611
Cook County (312) 475-1000
ELISABETH I. WALLNER, M.D., S.C.
Clinic/Center (Primary Care)
676 N ST CLAIR, SUITE 2250
CHICAGO, IL 60611
Cook County (312) 926-0888
HEMATOLOGY ONCOLOGY ASSOCIATES OF ILLINOIS LLC
Internal Medicine (Hematology & Oncology)
676 N ST CLAIR, SUITE 2140
CHICAGO, IL 60611
Cook County (312) 664-5400
MARJORIE MINTZ ROSENBAUM MD LLC
Dermatology
676 N ST CLAIR, SUITE 1725
CHICAGO, IL 60611
Cook County (312) 664-8533
UNIVERSITY EYE SPECIALISTS LTD
Ophthalmology (Glaucoma Specialist)
676 N ST CLAIR, #320
CHICAGO, IL 60611
Cook County (312) 475-1000
PATRICIA F. KATZ, M.D.
Obstetrics & Gynecology (Gynecology)
676 N ST CLAIR, STE 1880
CHICAGO, IL 60611
Cook County (312) 642-9844
DR. KALEOULOKAWAI STASZKOW M.D.
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000
CHICAGO LAKE SHORE MEDICAL ASSOCIATES,LTD
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000

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 Nidhi Kansal's NPI number?

The NPI number for Nidhi Kansal is 1396034484. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Nidhi Kansal located?

Nidhi Kansal practices at 676 N St Clair Suite 2300, Chicago, IL 60611. The listed phone number is (312) 926-6000.

What is Nidhi Kansal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nidhi Kansal enrolled in Medicare?

Yes. Nidhi Kansal 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 Nidhi Kansal affiliated with any hospitals?

According to CMS data, Nidhi Kansal is affiliated with Palos Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nidhi Kansal was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.