Individual provider Active NPI

Iyad A Kashow, MD

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1174574396
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085249 Issued in IL
Practice address
710 Shoreline Dr
Suite 102
Aurora, IL 60504-6192
Phone
(630) 692-1280
Fax
(630) 692-1284
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036085249 IL Primary

Addresses

Primary practice location

710 Shoreline Dr
Suite 102
Aurora, IL 60504-6192

Mailing address

710 Shoreline Dr
Suite 102
Aurora, IL 60504-6192
Phone (630) 692-1280

Other identifiers 4

IdentifierTypeStateIssuer
336047430OtherILCONTROLLED SUBSTANCE
036085249MedicaidIL
211055OtherILMEDICARE PTAN
036085249OtherILPHYSICIAN

Other names 1

  • Dr. Iyad A Kashow Professional name

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
I20050224000230 IL Practitioner - Internal Medicine 3375595168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

710 Shoreline Dr
Suite 102
Aurora, IL 60504-6203
Phone (630) 692-1280

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085249ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iyad a. Kashow MD.LTD Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients
Iyad a.Kashow MD LTD Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients

Locations

710 Shoreline Dr
Ste 102
Aurora, IL 60504
Phone (630) 692-1280

2088 Ogden Ave
Ste 210
Aurora, IL 60504
Phone (630) 360-5500

565 Lakeview Pkwy
Ste 195
Vernon Hills, IL 60061
Phone (224) 433-6641

Interoperability endpoints

  • Direct secure messaging: ikashow238084@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174574396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SHORELINE DR",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "630-692-1280",
            "fax_number": "630-692-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SHORELINE DR",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "630-692-1280",
            "fax_number": "630-692-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHOW",
        "first_name": "IYAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "336047430",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085249",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "211055",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "036085249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IYAD",
            "last_name": "KASHOW",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD LTD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.