Kaninika Verma, MD
NPI 1265503429 · Pulmonary Disease Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaninika Verma, MD is a Pulmonary Disease Physician provider in Peoria, IL (NPI 1265503429).
Provider details
- NPI number
- 1265503429
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036129385 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
927 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 138 | $115 |
| Critical Care, First 30-74 Minutes99291 | 124 | $207 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 119 | $122 |
| Sleep Study Including Heart Rate, Breathing, Airflow, and Effort95806 | 107 | $42 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 102 | $116 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 148 | 50 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 100 | 20 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 100 | 19 |
| Umeclidinium Bromidebrand: Incruse Ellipta | 84 | 14 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 79 | 15 |
| Azithromycin | 78 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$248 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2012-02-10
Frequently asked questions
- What is Kaninika Verma's NPI number?
- Kaninika Verma's National Provider Identifier (NPI) is 1265503429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaninika Verma's specialty?
- Kaninika Verma is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Kaninika Verma located?
- Kaninika Verma's practice location on file with NPPES is 1001 Main St, Peoria, IL 61606-1907.
- What is Kaninika Verma's phone number?
- The practice phone number listed in the NPPES registry for Kaninika Verma is (309) 672-5682.
- Does Kaninika Verma accept Medicare?
- Kaninika Verma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaninika Verma's NPI active?
- Yes — Kaninika Verma's NPI (1265503429) is active in the NPPES registry as of the last update on 2012-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.