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

Active since July 10, 2006PECOS Enrolled
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: October 25, 2026.

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

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 and maintains 3 additional practice locations.

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
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 21313 W. Chicago AveEast Chicago, IN 46312 · Phone (219) 397-1196 · Fax (219) 398-9343
Location 3101 W 61st AveHobart, IN 46342-6449 · Phone (219) 945-9530

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karl A Kirby M.d. 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 Reassignments

4

Medicare enrollment records show Karl Kirby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Medical Group, Inc.
2.5 mi
Family Medicine
181 W MADISON ST STE 3825
Chicago, IL 60602
  • Reassigned Medicare billing, Illinois enrollment
  • 31 clinicians in this Medicare group
NPI 1588382832 (312) 219-2230
Physicians Immediate Care North Chicago LLC
5.8 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738
Dupage Medical Group Ltd
20 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200
Pic Indiana PC
77 mi
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
NPI 1942546890 (815) 713-2600

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

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
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (888) 663-6331
DR. SHOBHA RENGA NARASIMHAN M.D.
Family Medicine
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (888) 663-6331
REBECCA TAYLOR PA-C
Physician Assistant
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (312) 999-5510
DR. ANDREW GUZMAN MD
Family Medicine
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (888) 663-6331
EMILY WEISS PA-C
Physician Assistant
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (312) 219-2230
CHRISTOPHER BOISSELLE M.D.
Family Medicine
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (312) 219-2230
DORI MOSCOWITZ D.O.
Family Medicine
1931 N HALSTED ST
CHICAGO, IL 60614
Cook County (312) 998-5510

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 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.

Where is Karl Kirby located?

Karl Kirby practices at 1931 N Halsted St, Chicago, IL 60614. The listed phone number is (888) 663-6331.

What is Karl Kirby's specialty?

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

Is Karl Kirby enrolled in Medicare?

Yes. Karl Kirby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karl Kirby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Kirby reassigns Medicare benefits to 4 organizations: One Medical Group, Inc. (Chicago, IL), Physicians Immediate Care North Chicago LLC (Chicago, IL), Dupage Medical Group Ltd (Downers Grove, IL) and Pic Indiana PC (Mishawaka, IN). Each 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 Karl Kirby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.