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DR. FADI KARA M.D
NPI 1942519533
Hospitalist in Olympia Fields, IL

Active since September 29, 2010PECOS EnrolledAccepts Medicare Assignment
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(708) 679-2160(708) 679-2161 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Fadi Kara M.d NPPES

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

DR. FADI KARA M.D (NPI 1942519533) is an individual hospitalist provider in Olympia Fields, Illinois, licensed in Illinois (036130329) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Insight Hospital And Medical Center Chicago, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1942519533
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. FADI KARACredential: M.D
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address505 N Mcclurg Ct, Unit 4401Chicago, IL 60611-5420 · (312) 752-6702
Phone(708) 679-2160
Fax(708) 679-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJuly 17, 2018
✔ NPI 1942519533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036130329
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125056187 (IL)
20201 CRAWFORD AVE, Olympia Fields, IL 60461
Open in Google Maps ↗

Secondary Practice Location 1

Location 1505 N McClurg Ct, unit 4401Chicago, IL 60611-5420 · Phone (312) 806-1177

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

Dr. Fadi Kara M.d 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 ID2264684018
PECOS Enrollment IDI20121130000581
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

6

Medicare enrollment records show Fadi Kara reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Insight Chicago, Inc.
23 mi
Internal Medicine
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 354 clinicians in this Medicare group
NPI 1881261006 (312) 567-2000
24 On Physicians, PC
59 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247
Rockford Health Physicians
85 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Freeport Memorial Hospital
112 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Cogent Healthcare Of Illinois, LLC
222 mi
Internal Medicine
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
NPI 1487897849 (615) 377-5652
Sound Physicians Of Illinois, LLC
240 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
433 services149 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
196 services171 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.
144 services138 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services26 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Insight Hospital And Medical Center Chicago

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140158
Location2525 S Michigan AveChicago, IL 60616 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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.

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…
2%52 patients1/55-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 20

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

CHINTAN SHAH DO
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
MICHAEL JOSEPH MULLAN II PTA
Physical Therapy Assistant
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 852-2540
MARIA STEPHANIE TICSA
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
DR. TONI SCOTT-TERRY MD
Obstetrics & Gynecology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2160
DR. JOSEPH JOHN ZANGHI D.O.
Urology
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
CONSULTANTS IN PATHOLOGY SC
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
SAMUEL L MACAGBA JR. MD
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-3857
AISHA BAGGIA
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000

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 Fadi Kara's NPI number?

The NPI number for Fadi Kara is 1942519533. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Fadi Kara located?

Fadi Kara practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (708) 679-2160.

What is Fadi Kara's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Fadi Kara enrolled in Medicare?

Yes. Fadi Kara 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 Fadi Kara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fadi Kara reassigns Medicare benefits to 6 organizations: Insight Chicago, Inc. (Chicago, IL), 24 On Physicians, PC (Ottawa, IL), Rockford Health Physicians (Rockford, IL), Freeport Memorial Hospital (Freeport, IL), Cogent Healthcare Of Illinois, LLC (Quincy, IL) and 1 more organization, listed in the Medicare section above. 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 Fadi Kara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fadi Kara accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fadi Kara 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 Fadi Kara affiliated with any hospitals?

According to CMS data, Fadi Kara is affiliated with Insight Hospital And Medical Center Chicago.

When was this NPI record last updated?

The NPPES record for Fadi Kara was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.