Active NPI
Kaveh Rahmani, DO
- Family Medicine Physician
- Crestwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-133777
- Practice address
- 4742 Cal Sag Rd
Crestwood, IL 60445-1423 - Phone
- (708) 342-3000
- Fax
- (708) 342-3060
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-133777 | IL | Primary |
Addresses
Primary practice location
4742 Cal Sag Rd
Crestwood, IL 60445-1423
Mailing address
27702 Network PL
Chicago, IL 60673-1277
Phone (708) 862-7674
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036133777 | Medicaid | IL | |
| P01365070 | Other | IL | RRM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300
17805 Halsted St
Homewood, IL 60430-2011
Phone (708) 333-2300
19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2142
Phone (708) 957-8750
Hospital & facility affiliations
- Ingalls Home Care Inc.
- Franciscan Home Care
- Advocate Home Health Care Serv
- Ingalls Memorial Hospital
- The University of Chicago Medical Center
- Franciscan Health Olympia & Chicago Heights
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-133777 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Family Medicine | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700
27702 Network Pl
Chicago, IL 60673
4742 Cal Sag Rd
Crestwood, IL 60418
Phone (708) 915-2727
19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
6701 159th St
#1
Tinley Park, IL 60477
Phone (708) 444-2226
Interoperability endpoints
- krahmani179487@uchospital.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ingalls Memorial Hospital | Hospital | Corporate Director | Jan 17, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1477262046
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- Home Health Agency
- Chicago Heights, IL
- NPI 1508885930
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
-
- Home Health Agency
- Harvey, IL
- NPI 1417998865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1215224779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27702 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731277",
"telephone_number": "708-862-7674",
"fax_number": "708-862-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4742 CAL SAG RD",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604451423",
"telephone_number": "708-342-3000",
"fax_number": "708-342-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMANI",
"first_name": "KAVEH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-133777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036133777",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "P01365070",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.