Individual provider Active NPI

Kelly Kashani, NP

  • Adult Health Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1144697715
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209013561 Issued in IL
Practice address
1333 Burr Ridge Pkwy
Suite 200
Burr Ridge, IL 60527-6423
Phone
(630) 832-1775
NPI assigned
Aug 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209013561 IL Primary

Addresses

Primary practice location

1333 Burr Ridge Pkwy
Suite 200
Burr Ridge, IL 60527-6423

Mailing address

1333 Burr Ridge Pkwy
Suite 200
Burr Ridge, IL 60527-6423
Phone (630) 832-1775

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001734 IL Practitioner - Nurse Practitioner 2860793999 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians

Practice addresses (Care Compare)

1345 Wiley Rd
Suite 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013561ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Medical Practices Inc Adult Health CurrentSince May 5, 2026 Accepting new patients
Lumen Cardiovascular Specialists,LTD CurrentSince Oct 16, 2017 Accepting new patients
Stat Cardiologist Inc CurrentSince May 1, 2023 Accepting new patients
Paragon Clinical LLC Adult Health CurrentSince Nov 6, 2015 Accepting new patients
Chicago Vascular Clinic LTD Past Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Feb 22, 2021 Accepting new patients
Advanced Family Clinic LTD Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Brikha Medical Center SC PastSince Jan 26, 2004 Accepting new patients

Locations

145 E Algonquin Rd
Arlington Heights, IL 60005
Phone (630) 280-4570

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

238 W Cermak Rd
Ste 2C
Chicago, IL 60616

755 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 680-7002

3033 Ogden Ave
Lisle, IL 60532
Phone (630) 364-8523

1163 E Ogden Ave
Naperville, IL 60563

8118 N Milwaukee Ave
Ste 108
Niles, IL 60714

8118 N Milwaukee Ave
Ste 105
Niles, IL 60714
Phone (773) 277-7300

2 W Talcott Rd
Ste 23
Park Ridge, IL 60068
Phone (847) 692-3700

1365 Wiley Rd
Ste 146
Schaumburg, IL 60173
Phone (630) 217-6251

1345 Wiley Rd
Ste 111
Schaumburg, IL 60173
Phone (630) 451-9694

942 E Roosevelt Rd
West Chicago, IL 60185
Phone (630) 415-2009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1144697715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276423",
            "telephone_number": "630-832-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276423",
            "telephone_number": "630-832-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANI",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209013561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.