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DR. KIRAN P JOSHI MD
NPI 1437225729
Family Medicine in Willowbrook, IL

Active since November 28, 2006PECOS Enrolled
84.57/100
CMS Quality Rating
6545 CHAUCER RD, WILLOWBROOK, IL 60527(312) 375-5313 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2021, Aug 10, 2020, Aug 23, 2016 (3 updates tracked since 2016).

About Dr. Kiran P Joshi Md NPPES

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

DR. KIRAN P JOSHI MD (NPI 1437225729) is an individual family medicine provider in Willowbrook, Illinois, licensed in Illinois (036115026) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437225729
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRAN P JOSHICredential: MD
Location Address6545 CHAUCER RDWillowbrook, IL 60527-5474
Mailing Address6545 Chaucer RdWillowbrook, IL 60527-5474 · (312) 375-5313
Phone(312) 375-5313
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1437225729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036115026
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.
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 036-115026 (IL)
6545 CHAUCER RD, Willowbrook, IL 60527
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kiran P Joshi 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.

Medicare Billing Reassignment

Medicare enrollment records show Kiran Joshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
8.7 mi
Primary Care
1800 S. HARLEM AVE
Riverside, IL 60546
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1497875298 (708) 783-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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 Kiran Joshi's NPI number?

The NPI number for Kiran Joshi is 1437225729. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kiran Joshi located?

Kiran Joshi practices at 6545 Chaucer Rd, Willowbrook, IL 60527. The listed phone number is (312) 375-5313.

What is Kiran Joshi's specialty?

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

Is Kiran Joshi enrolled in Medicare?

Yes. Kiran Joshi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kiran Joshi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Joshi reassigns Medicare benefits to Cook County (Riverside, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiran Joshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiran Joshi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kiran Joshi 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 Kiran Joshi 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.