HARINI KOLLURI MD
NPI 1407019060
Pediatrics in Chicago, IL

Q: What is Harini Kolluri's NPI number?

The NPI number for Harini Kolluri is 1407019060. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Q: What is Harini Kolluri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Harini Kolluri was last updated on April 26, 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.

Active since July 03, 2008PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 795-0168 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 26, 2021, Jun 28, 2016 (2 updates tracked since 2016).

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About Harini Kolluri Md NPPES

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

HARINI KOLLURI MD (NPI 1407019060) is an individual pediatrics provider in Chicago, Illinois, licensed in Indiana (01067265A) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407019060

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHARINI KOLLURICredential: MD

Location Address5841 S MARYLAND AVEChicago, IL 60637-1447

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 795-0168 · Fax (773) 702-0443

Phone(773) 795-0168

Sole ProprietorNo

Enumeration DateJuly 3, 2008

Last NPPES UpdateApril 26, 20212 updates tracked since enumeration

NPPES CertifiedApril 26, 2021

✔ NPI 1407019060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01067265A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X · License 036.122918 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125051149 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

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Other Identifiers 3

Other151020NNNNIN · Medicare Ptan

Other000000646342IN · Anthem Pin

Medicaid200965410IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harini Kolluri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

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.

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