Individual provider Active NPI

Niranjan Karnik, M.D., PH.D.

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1073648192
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036-122545 Issued in IL
Practice address
1747 W Roosevelt Rd
Chicago, IL 60608-1264
Phone
(312) 273-0185
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A85259 CA
Psychiatry Physician 2084P0800X 036-122545 IL
Psychiatry Physician 2084P0800X 01089307A IN
Child & Adolescent Psychiatry Physician 2084P0804X A85259 CA
Child & Adolescent Psychiatry Physician 2084P0804X 01089307A IN
Child & Adolescent Psychiatry Physician 2084P0804X 036-122545 IL Primary

Addresses

Primary practice location

1747 W Roosevelt Rd
Chicago, IL 60608-1264

Mailing address

1747 W Roosevelt Rd
Chicago, IL 60608-1264
Phone (312) 273-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000728 IL Practitioner - Psychiatry 2163518978 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A85259CAMDPsychiatry Physician
036-122545ILMDPsychiatry Physician
01089307AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Nov 21, 2012 Accepting new patients
Rush University Medical Center CurrentSince Nov 1, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 21, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Psychiatry CurrentSince Jun 16, 2022 Accepting new patients
Rush University Medical Group CurrentSince Nov 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 16, 2022 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2150 W Harrison St
Chicago, IL 60612
Phone (312) 563-1212

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1645 W Jackson Blvd
Ste 400
Chicago, IL 60612
Phone (312) 942-5932

1645 W Jackson Blvd
Ste 600
Chicago, IL 60612
Phone (312) 563-6637

1747 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 996-2200

1645 W Jackson Blvd
Ste 602
Chicago, IL 60612
Phone (312) 942-8387

75 Remittance Dr
Dept 1611
Chicago, IL 60675

7825 Solution Ctr
Chicago, IL 60677

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: nkarnik61278@direct.rush.rush-health.com
  • Direct secure messaging: nkarnik135291@uihealth.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1073648192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081264",
            "telephone_number": "312-273-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081264",
            "telephone_number": "312-273-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNIK",
        "first_name": "NIRANJAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A85259",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-122545",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01089307A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A85259",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01089307A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-122545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.