SAMANTHA CHIRUNOMULA QUARLESS MD
NPI 1639524119
Internal Medicine - Addiction Medicine in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

Active since May 03, 2016PECOS EnrolledAccepts Medicare Assignment

1220 S WOOD ST, CHICAGO, IL 60608(312) 996-2000 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2026, Mar 26, 2025, Sep 16, 2021 (3 updates tracked since 2021).

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About Samantha Chirunomula Quarless Md NPPES

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

SAMANTHA CHIRUNOMULA QUARLESS MD (NPI 1639524119) is an individual addiction medicine provider in Chicago, Illinois, licensed in Illinois (036.154949) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1639524119

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameSAMANTHA CHIRUNOMULA QUARLESSCredential: MD

Location Address1220 S WOOD STChicago, IL 60608-1202

Mailing Address912 S Wood St Rm 137Chicago, IL 60612-4300 · (312) 996-2019

Phone(312) 996-2000

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2016

Enumeration DateMay 3, 2016

Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1639524119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in IL · 036.154949

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036.154949 (IL)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 036.154949 (IL)

1220 S WOOD ST, Chicago, IL 60608

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Secondary Practice Location 1

Location 13291 Loma Vista RdVentura, CA 93003-3099 · Phone (805) 652-6100 · Fax (805) 652-3252

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

Samantha Chirunomula Quarless 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 ID9133660251

PECOS Enrollment IDI20240917001817

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.

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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.

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.

JENNIFER COLELLA APN

Nurse Practitioner (Family)