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CAROL E SEMRAD MD
NPI 1871656389
Internal Medicine - Gastroenterology in Burr Ridge, IL

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527(773) 834-4064 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol E Semrad Md NPPES

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

CAROL E SEMRAD MD (NPI 1871656389) is an individual gastroenterology provider in Burr Ridge, Illinois, licensed in Illinois (036108184) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1871656389
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCAROL E SEMRADCredential: MD
Location Address180 HARVESTER DR STE 110Burr Ridge, IL 60527-6686
Mailing Address5841 S Maryland Ave # Mc4080, S401Chicago, IL 60637-1447
Phone(773) 834-4064
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1871656389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036108184
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
180 HARVESTER DR STE 110, Burr Ridge, IL 60527
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedL96275
Medicaid036108184IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Carol E Semrad 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 ID1153308697
PECOS Enrollment IDI20040702000292
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

2

Medicare enrollment records show Carol Semrad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
16 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
16 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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 10

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services40 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
41 services39 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.
33 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims419 services$2.78 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers12 claims331 services$5.05 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
3 suppliers22 claims622 services$3.79 avg. paid by Medicare
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
2 suppliers24 claims12,029 services$0.86 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers11 claims3,777 services$0.29 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
7 suppliers573 claims7,869 services$11.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CHAD T WHELAN MD
Hospitalist
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
DAVID O MELTZER MD
Hospitalist
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 702-1150
RICHARD M DEMAY MD
Pathology (Anatomic Pathology)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
RUTH R RUDINSKY MD
Pediatrics (Pediatric Hematology-Oncology)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ALAN R LEFF MD
Internal Medicine (Pulmonary Disease)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ANMOL PATEL MD, MPH
Student in an Organized Health Care Education/Training Program
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 702-1150
WICKII VIGNESWARAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ANDREA SHASHOUA MD
Anesthesiology
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064

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 Carol Semrad's NPI number?

The NPI number for Carol Semrad is 1871656389. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Carol Semrad located?

Carol Semrad practices at 180 Harvester Dr Ste 110, Burr Ridge, IL 60527. The listed phone number is (773) 834-4064.

What is Carol Semrad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Carol Semrad enrolled in Medicare?

Yes. Carol Semrad 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 Carol Semrad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Semrad reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Carol Semrad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Semrad accept?

Health plans from Oscar Health list Carol Semrad 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 Carol Semrad affiliated with any hospitals?

According to CMS data, Carol Semrad is affiliated with Northshore University Healthsystem - Evanston Hospital and The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Semrad was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.