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NITHIN CHARLLY MD
NPI 1831849744
Family Medicine in Grayslake, IL

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
1475 E. BELVIDERE ROAD, SUITE 385, GRAYSLAKE, IL 60030(847) 535-7157(312) 694-0655 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Apr 30, 2024, May 28, 2022 (3 updates tracked since 2022).

About Nithin Charlly Md NPPES

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

NITHIN CHARLLY MD (NPI 1831849744) is an individual family medicine provider in Grayslake, Illinois, licensed in Illinois (125079374) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1831849744
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNITHIN CHARLLYCredential: MD
Location Address1475 E. BELVIDERE ROAD, SUITE 385Grayslake, IL 60030-2012
Mailing Address1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026 · (847) 535-7157 · Fax (312) 694-0655
Phone(847) 535-7157
Fax(312) 694-0655
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1831849744 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 · 125079374
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1475 E. BELVIDERE ROAD, Grayslake, IL 60030
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Secondary Practice Location 1

Location 12418 N Ashland AveChicago, IL 60614-2021 · Phone (773) 900-8330

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 and accepts Medicare assignment

Nithin Charlly 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 ID6709264526
PECOS Enrollment IDI20251222001349
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 Nithin Charlly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Platinum Care, Sc
33 mi
Family Medicine
2400 N ASHLAND AVE, SUITE 150
Chicago, IL 60614
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1114397056 (773) 270-5600

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

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60030 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.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL KRAFT MD
Family Medicine
1475 E. BELVIDERE ROAD, SUITE 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
DR. EDUARDO OROZCO RODRIGUEZ
Family Medicine
1475 E. BELVIDERE ROAD, SUITE 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157

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 Nithin Charlly's NPI number?

The NPI number for Nithin Charlly is 1831849744. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Nithin Charlly located?

Nithin Charlly practices at 1475 E. Belvidere Road Suite 385, Grayslake, IL 60030. The listed phone number is (847) 535-7157.

What is Nithin Charlly's specialty?

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

Is Nithin Charlly enrolled in Medicare?

Yes. Nithin Charlly 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.

Which organization bills Medicare for Nithin Charlly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nithin Charlly reassigns Medicare benefits to Innovative Platinum Care, Sc (Chicago, 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 Nithin Charlly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nithin Charlly accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nithin Charlly 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 Nithin Charlly affiliated with any hospitals?

According to CMS data, Nithin Charlly is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Nithin Charlly was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.