KARL A KIRBY (M.D.) – Family Medicine Physician, NPI 1760416531
Family Medicine Physician
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NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for KARL A KIRBY (M.D.)
4003 S Route 59
Naperville, IL 605645802
Phone: (888) 693-6437
Type: Location
West 61st Avenue, Hobart, Lake County, Indiana, 46342, United States
HOBART, IN 463426449
Phone: (219) 945-9530
Type: Location
1313, West Chicago Avenue, Super Duper, East Chicago, North Township, Lake County, Indiana, 46312, United States
EAST CHICAGO, IN 46312
Phone: (219) 397-1196
Fax: (219) 398-9343
Type: Mailing
101 W 61st Ave
Hobart, IN 463426449
Phone: (219) 945-9530
Type: Location
1313 W. Chicago Ave
East Chicago, IN 46312
Phone: (219) 397-1196
Fax: (219) 398-9343
Type: Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 469-9200
Type: Mailing
4003 S ROUTE 59
NAPERVILLE, IL 605645802
Phone: (888) 693-6437
Type: Location
1931 N HALSTED ST
CHICAGO, IL 606145008
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060214000498 | I | Family Practice | IL | TBD |
| I20110425000694 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 85 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 91 | 88 | $0 |
| 81003 | Automated urinalysis test | 53 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 60564)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| - | DC | |
| - | CA | |
| - | CA | |
| Family Practice | OH | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | MN |
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