Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KANIKA SOOD M.D.
NPI 1982982096
Obstetrics & Gynecology - Obstetrics in Downers Grove, IL

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
4121 FAIRVIEW AVE, DOWNERS GROVE, IL 60515(312) 288-5019 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Jul 11, 2016 (2 updates tracked since 2016).

About Dr. Kanika Sood M.d. NPPES

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

DR. KANIKA SOOD M.D. (NPI 1982982096) is an individual obstetrics provider in Downers Grove, Illinois, licensed in Illinois (036137848) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1982982096
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. KANIKA SOODCredential: M.D.
Location Address4121 FAIRVIEW AVEDowners Grove, IL 60515-2264
Mailing Address1501 S California AveChicago, IL 60608-1732 · (773) 542-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 25, 2011
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1982982096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in IL · 036137848
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
4121 FAIRVIEW AVE, Downers Grove, IL 60515

Other Identifiers 1

Other1065770601CT · United Health Care

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. Kanika Sood 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 ID9133418973
PECOS Enrollment IDI20160517002035
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.

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES 14

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

Obstetrics & Gynecology
4121 FAIRVIEW AVE, WOMEN OBGYN ASSOCIATES PC SUITE 201
DOWNERS GROVE, IL 60515
Psychiatry & Neurology (Neurology)
4121 FAIRVIEW AVE, 204
DOWNERS GROVE, IL 60515
Specialist
4121 FAIRVIEW AVE, SUITE103
DOWNERS GROVE, IL 60515
Dentist
4121 FAIRVIEW AVE, STE 205
DOWNERS GROVE, IL 60515
Clinic/Center (Primary Care)
4121 FAIRVIEW AVE, SUITE 100
DOWNERS GROVE, IL 60515
Specialist
4121 FAIRVIEW AVE, SUITE 103
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology (Gynecology)
4121 FAIRVIEW AVE
DOWNERS GROVE, IL 60515
Family Medicine
4121 FAIRVIEW AVE, STE L1, OGDEN MEDICAL PROFESSIONAL BUILDING
DOWNERS GROVE, IL 60515

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 Kanika Sood's NPI number?

The NPI number for Kanika Sood is 1982982096. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Kanika Sood located?

Kanika Sood practices at 4121 Fairview Ave, Downers Grove, IL 60515. The listed phone number is (312) 288-5019.

What is Kanika Sood's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Kanika Sood enrolled in Medicare?

Yes. Kanika Sood 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 Kanika Sood accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kanika Sood 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 Kanika Sood affiliated with any hospitals?

According to CMS data, Kanika Sood is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Kanika Sood was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.