DR. ZOHAIR H KARMALLY MD
NPI 1851576243
Internal Medicine - Critical Care Medicine in Chicago, IL
About Dr. Zohair H Karmally Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ZOHAIR H KARMALLY MD (NPI 1851576243) is an individual critical care medicine provider in Chicago, Illinois, licensed in Wisconsin (56582) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains a secondary practice location in Morgantown.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Dr. Zohair H Karmally 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.
Medicare Billing Reassignments
5Medicare enrollment records show Zohair Karmally reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskego, WI 53150
- Reassigned Medicare billing, Wisconsin enrollment
- 528 clinicians in this Medicare group
Staunton, IL 62088
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 124 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 255 clinicians in this Medicare group
Mannington, WV 26582
- Reassigned Medicare billing, West Virginia enrollment
- 318 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Anderson Hospital
Acute Care Hospitals · Maryville, ILBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOSsm St Clare Health Center
Acute Care Hospitals · Fenton, MOSsm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Zohair Karmally's NPI number?
The NPI number for Zohair Karmally is 1851576243. It was assigned to this individual provider in the NPPES registry on January 3, 2008.
Where is Zohair Karmally located?
Zohair Karmally practices at 3550 N Lake Shore Dr Unit 1806, Chicago, IL 60657. The listed phone number is (773) 572-6615.
What is Zohair Karmally's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Zohair Karmally enrolled in Medicare?
Yes. Zohair Karmally 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 organizations bill Medicare for Zohair Karmally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zohair Karmally reassigns Medicare benefits to 5 organizations: Prohealth Medical Group Inc (Muskego, WI), Midwest Emergency Anderson Health, Inc (Staunton, IL), Midwest Inpatient Anderson Health, Inc (Maryville, IL), Cogent Healthcare Of Missouri, Inc (Fenton, MO) and Monongalia County General Hospital Company (Mannington, WV). 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 Zohair Karmally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zohair Karmally accept?
Health plans from CareSource list Zohair Karmally 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 Zohair Karmally affiliated with any hospitals?
According to CMS data, Zohair Karmally is affiliated with Anderson Hospital, Barnes Jewish Hospital, Ssm St Clare Health Center and Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Zohair Karmally was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Zohair H Karmally, MD · NPI 1851576243
Critical Care Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1851576243 (Entity type: Individual)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 56582 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3550 N LAKE SHORE DR, UNIT 1806, Chicago, IL 60657-1944
- **Phone:** (773) 572-6615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Prohealth Medical Group Inc (NPI 1114068970, Muskego, WI); Midwest Emergency Anderson Health, Inc (NPI 1710647615, Staunton, IL); Midwest Inpatient Anderson Health, Inc (NPI 1821758608, Maryville, IL); Cogent Healthcare Of Missouri, Inc (NPI 1780961599, Fenton, MO); Monongalia County General Hospital Company (NPI 1750785366, Mannington, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** May 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851576243) · Data from the CMS NPPES public registry.