KARL A KIRBY M.D.
NPI 1760416531
Family Medicine in Chicago, IL

Q: What is Karl Kirby's NPI number?

The NPI number for Karl Kirby is 1760416531. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Karl Kirby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karl Kirby was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 10, 2006PECOS EnrolledAccepts Medicare Assignment

1931 N HALSTED ST, CHICAGO, IL 60614(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jan 8, 2025, Aug 9, 2023 and 3 more (6 updates tracked since 2018).

On this page

About Karl A Kirby M.d. NPPES

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

KARL A KIRBY M.D. (NPI 1760416531) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036101200) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1760416531

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKARL A KIRBYCredential: M.D.

Location Address1931 N HALSTED STChicago, IL 60614-5008

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 10, 2006

Last NPPES UpdateMarch 17, 20256 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1760416531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036101200✔ Licensed in IN · 01068718A

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.

1931 N HALSTED ST, Chicago, IL 60614

Open in Google Maps ↗

Secondary Practice Locations 3

Location 14003 S Route 59Naperville, IL 60564-5802 · Phone (888) 693-6437

Location 2101 W 61st AveHobart, IN 46342-6449 · Phone (219) 945-9530

Location 31313 W. Chicago AveEast Chicago, IN 46312 · Phone (219) 397-1196 · Fax (219) 398-9343

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 and accepts Medicare assignment

Karl A Kirby 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 ID42225948

PECOS Enrollment IDI20060214000498

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 2

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.

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

12 services12 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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 7

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

DR. MIN JIE LEE M.D.

Pediatrics