Karl Kirby, M.D.
NPI 1760416531 · Family Medicine Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karl Kirby, M.D. is a Family Medicine Physician provider in Chicago, IL (NPI 1760416531).
Provider details
- NPI number
- 1760416531
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01068718A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
23 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| 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 Detected0241U | 12 | $140 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 11 | $132 |
Typical Medicare-allowed amounts for these services range $132–$140 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (3)
- 4003 S Route 59Naperville, IL 60564-5802Phone: (888) 693-6437
- 1313 W. Chicago AveEast Chicago, IN 46312Phone: (219) 397-1196Fax: (219) 398-9343
- 101 W 61st AveHobart, IN 46342-6449Phone: (219) 945-9530
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Frequently asked questions
- What is Karl Kirby's NPI number?
- Karl Kirby's National Provider Identifier (NPI) is 1760416531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karl Kirby's specialty?
- Karl Kirby is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karl Kirby located?
- Karl Kirby's practice location on file with NPPES is 1931 N Halsted St, Chicago, IL 60614-5008.
- What is Karl Kirby's phone number?
- The practice phone number listed in the NPPES registry for Karl Kirby is (888) 663-6331.
- Does Karl Kirby accept Medicare?
- Karl Kirby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karl Kirby's NPI active?
- Yes — Karl Kirby's NPI (1760416531) is active in the NPPES registry as of the last update on 2025-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.