DR. ZOHAIR H KARMALLY MD
NPI 1851576243
Internal Medicine - Critical Care Medicine in Chicago, IL

Active since January 03, 2008PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3550 N LAKE SHORE DR, UNIT 1806, CHICAGO, IL 60657(773) 572-6615 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1851576243
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ZOHAIR H KARMALLYCredential: MD
Location Address3550 N LAKE SHORE DR, UNIT 1806Chicago, IL 60657-1944
Mailing Address3550 N Lake Shore Dr, Unit 1806Chicago, IL 60657-1944 · (773) 572-6615
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 3, 2008
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
NPI 1851576243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in WI · 56582 Licensed in WV · 56582 Licensed in WV · 3236 Licensed in IL · 036120960
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125049811 (IL)
3550 N LAKE SHORE DR, Chicago, IL 60657

Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1330 · Fax (304) 598-1609

Accepted 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

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.

PECOS PAC ID6800061359
PECOS Enrollment IDI20111212000201, I20150116001252, I20240513000301
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
259 services113 patients

Hospital Affiliations CMS Care Compare 5

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician 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.

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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%152 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Speech-Language Pathologist
3550 N LAKE SHORE DR, APT 612
CHICAGO, IL 60657
Speech-Language Pathologist
3550 N LAKE SHORE DR, 608
CHICAGO, IL 60657

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.

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, Ssm Health Saint Louis University Hospital and Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Zohair Karmally was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.