Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Goutham Kondapi

Individual provider Nephrology Physician · NPI 1245792175

Goutham Kondapi practises Nephrology in Evergreen Park, Illinois. Qualified in 2022, 4 years ago. Practices with Nephrology Associates of Northern Illinois Ltd, a 117-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Phone: (708) 422-7715
Fax: (708) 422-7816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5841 S Maryland Ave # Mc5100, Chicago, IL 60637-1443 — (773) 702-3630
  • 16605 S 107th Court, Orland Park, IL 60467 — (708) 226-9860
  • 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 — (313) 343-7774

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036160201 (IL)

Record details

NPI number1245792175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nephrology Associates Of Northern Illinois Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients230
Services billed 736 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Nephrology Associates of Northern Illinois Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 117 clinicians in the practice; 12 are shown here.

Other providers in Evergreen Park