KANINIKA VERMA (MD) – Pulmonary Disease Physician, NPI 1265503429
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
848 PULMONARY DISEASE in IL
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Provider Addresses for KANINIKA VERMA (MD)
1001, Main Street, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61606, United States
SUITE 200
PEORIA, IL 616061907
Phone: (309) 672-5682
Fax: (309) 672-3147
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $248.
Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($97).
Total Amount
$248
General + Research + Ownership
Payments
4
Total payment records
General Amount
$248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120402000619 | I | Pulmonary Disease | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 168 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 145 | 112 | $0 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 132 | 131 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 115 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 107 | $0 |
Insurance plans in this area (ZIP 61606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | IL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 17 | 17 |
| PULMONARY DISEASE | IL | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 68 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Internal Medicine, Emergency Medicine, Pediatric Medicine | IL | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Pulmonary Disease | IL | |
| Nurse Practitioner | IL | |
| Family Practice | MO |
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