Kedar Arvind Kakodkar, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01074176A Issued in IN

Practice address

1950 45TH St Ste 100
Munster, IN 46321-3958

Phone

(219) 703-9393

Fax

(219) 703-6763

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Otolaryngology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Macneal Hospital Hospital, Berwyn, IL, CCN 140054
• Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  Medicare reassignment Care Compare group NPD
• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
  • NPI 1457610487
  NPD
• Suburban Otolaryngology,S.C.

  • Specialist
  • Berwyn, IL
  • NPI 1821204082
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gottlieb Community Health Services Corporation

  dba MacNeal Hospital

  • General Acute Care Hospital
  • Berwyn, IL
  • NPI 1295710580
  Care Compare affiliation
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  Care Compare affiliation
• Loyola University Medical Center

  dba Loyola University Medical Center Cancer Center

  • General Acute Care Hospital
  • Tinley Park, IL
  • NPI 1427752013
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1073724076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 45TH ST STE 100",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213958",
            "telephone_number": "219-703-9393",
            "fax_number": "219-703-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 45TH ST STE 100",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213958",
            "telephone_number": "219-703-9393",
            "fax_number": "219-703-6763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9660 Wicker Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-703-9393",
            "fax_number": "219-703-6763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Fir St Unit 410",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463123078",
            "country_code": "US",
            "telephone_number": "219-392-7665",
            "fax_number": "219-392-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Riverside Dr",
            "address_2": "Suite 2600",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609144996",
            "country_code": "US",
            "telephone_number": "815-928-5098",
            "fax_number": "815-936-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKODKAR",
        "first_name": "KEDAR",
        "middle_name": "ARVIND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125.053464",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01074176A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogesh Jonna, MD
• Divya Joshi, PHYSICAL THERAPIST
• Joyful ABA LLC
• Sydney Nicole Judge, PHARMD
• Wing Hong Kai, P.T.
• Kameswari Kalluri, MD
• Rajiv Dutt Kalluri
• Majdee Kamal, PA-C
• Nicole Kaminsky, PHARMD
• Kevin Refaat Kammel, M.D.,M.P.H.

• Otolaryngology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.