Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goutham Kondapi

Individual provider Nephrology Physician · NPI 1245792175

Goutham Kondapi is a 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

Other providers in Evergreen Park