ILYA M. KARAGODIN MD
NPI 1609119932
Internal Medicine - Cardiovascular Disease in Skokie, IL

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076(847) 864-3278(847) 676-1727 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2021, Jun 12, 2017, Mar 4, 2016 (3 updates tracked since 2016).

About Ilya M. Karagodin Md NPPES

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

ILYA M. KARAGODIN MD (NPI 1609119932) is an individual cardiovascular disease provider in Skokie, Illinois, licensed in Illinois (036142317) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (2013).

NPPES Registry Identity

NPI1609119932
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameILYA M. KARAGODINCredential: MD
Location Address9650 GROSS POINT RD STE 4900Skokie, IL 60076-5080
Mailing Address9650 Gross Point Rd Ste 4900Skokie, IL 60076-5080 · (847) 864-3278 · Fax (847) 676-1727
Fax(847) 676-1727
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1609119932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036142317
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9650 GROSS POINT RD STE 4900, Skokie, IL 60076

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

Ilya M. Karagodin Md 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 ID446579502
PECOS Enrollment IDI20210630000354
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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,550 services1,265 patients
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.
552 services329 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
495 services471 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
127 services60 patients
Mri scan of blood flow of heart 75565
An MRI scan of the heart's blood flow is a non-invasive imaging technique. It uses a magnetic field and radio waves to create detailed images of your heart and its blood vessels. This helps in diagnosing conditions like blockages or abnormalities.
80 services80 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.
73 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook 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 60076 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Nurse Practitioner (Family)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Clinical Cardiac Electrophysiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Interventional Cardiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Surgery (Vascular Surgery)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076

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 Ilya Karagodin's NPI number?

The NPI number for Ilya Karagodin is 1609119932. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Ilya Karagodin located?

Ilya Karagodin practices at 9650 Gross Point Rd Ste 4900, Skokie, IL 60076. The listed phone number is (847) 864-3278.

What is Ilya Karagodin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ilya Karagodin enrolled in Medicare?

Yes. Ilya Karagodin 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 Ilya Karagodin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Molina Healthcare list Ilya Karagodin 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 Ilya Karagodin affiliated with any hospitals?

According to CMS data, Ilya Karagodin is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital, Advocate Lutheran General Hospital, Northwest Community Hospital 1 and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ilya Karagodin was last updated on July 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.