Individual provider Active NPI

Tiffany R Kadow, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Warrenville, IL
National Provider Identifier
1083909956
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
036146905 Issued in IL
Practice address
27650 Ferry Rd
Warrenville, IL 60555
Phone
(630) 225-2663
NPI assigned
Jun 18, 2011
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT199600 PA
Surgery of the Hand (Surgery) Physician 2086S0105X 036146905 IL Primary

Addresses

Primary practice location

27650 Ferry Rd
Warrenville, IL 60555

Mailing address

680 North Lake Shore Drive
1000
Chicago, IL 60611
Phone (312) 695-0665

Other practice location 1

3471 5th Ave
Pittsburgh, PA 15213-3215
Phone (412) 605-3203

Other practice location 2

351 Delnor Dr
Geneva, IL 60134
Phone (630) 225-2663

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
I20180810002939 IL Practitioner - Hand Surgery 6305132440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

27650 Ferry Rd
Warrenville, IL 60555-3845
Phone (630) 225-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT199600PAMDOrthopaedic Surgery Physician
036146905ILMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Aug 22, 2018 Accepting new patients
Central Dupage Physician Group Orthopaedic Surgery CurrentSince Aug 22, 2018 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001

351 Delnor Dr
Ste 410
Geneva, IL 60134
Phone (630) 232-6354

636 Raymond Dr
Ste 100
Naperville, IL 60563
Phone (630) 548-3366

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

27650 Ferry Rd
Ste 100
Warrenville, IL 60555
Phone (630) 225-2345

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1083909956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 NORTH LAKE SHORE DRIVE",
            "address_2": "1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-695-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27650 FERRY RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-225-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3471 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133215",
            "country_code": "US",
            "telephone_number": "412-605-3203",
            "fax_number": "412-687-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Delnor Dr",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "60134",
            "country_code": "US",
            "telephone_number": "630-225-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADOW",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT199600",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036146905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.