Individual provider Active NPI

Kamal Vaid, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1295283455
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012996 Issued in IL
Practice address
1144 W Randolph St Ste 2
Chicago, IL 60607-1619
Phone
(847) 217-4697
NPI assigned
Sep 16, 2016
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012996 IL Primary

Addresses

Primary practice location

1144 W Randolph St Ste 2
Chicago, IL 60607-1619

Mailing address

1144 W Randolph St Ste 2
Chicago, IL 60607-1619
Phone (847) 217-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817000231 IL Practitioner - Chiropractic 3072885607 Reassigns benefits to 3 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1144 W Randolph St
Suite 2
Chicago, IL 60607-1619
Phone (847) 217-4697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012996ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Doc of West Loop PLLC Chiropractor CurrentSince May 24, 2024 Accepting new patients
Zrelak Chiropractic Center, S.C. Chiropractor CurrentSince Jul 1, 2020 Accepting new patients
Chiro One Wellness Center of North Orleans PLLC Chiropractor CurrentSince Mar 21, 2023 Accepting new patients
Chiromend Chiropractor CurrentSince Apr 6, 2024 Accepting new patients

Locations

1144 W Randolph St
Ste 2
Chicago, IL 60607
Phone (847) 217-4697

414 N Orleans St
Ste 207
Chicago, IL 60654
Phone (312) 832-9700

1834 Glenview Rd
Ste 2W
Glenview, IL 60025
Phone (847) 730-3988

Organizations & group practices 4

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1295283455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 W RANDOLPH ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071619",
            "telephone_number": "847-217-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 W RANDOLPH ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071619",
            "telephone_number": "847-217-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAID",
        "first_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.