Individual provider Active NPI

Brian Kadow, MD

  • Urology Physician
  • Lisle, IL
National Provider Identifier
1386938157
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.148484 Issued in IL
Practice address
430 Warrenville Rd Ste 310
Lisle, IL 60532-1348
Phone
(630) 790-1221
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD453305 PA
Urology Physician 208800000X 036.148484 IL Primary

Addresses

Primary practice location

430 Warrenville Rd Ste 310
Lisle, IL 60532-1348

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (630) 790-1221

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bkadow191839@direct.edward.org
Direct Messaging Address bkadow191839@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170714000749 PA Practitioner - Urology 4789954314 Reassigns benefits to 4 organizations
I20190717003109 IL Practitioner - Urology 4789954314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
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
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.148484ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 2, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 2, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
University of Pittsburgh Physicians Urology CurrentSince Sep 1, 2018 Accepting new patients
Einstein Practice Plan,Inc Urology CurrentSince Apr 16, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 16, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc Urology CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2018 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 9, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 9, 2019 Accepting new patients
DMG Surgical Center LLC Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

145 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 359-8721

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

430 Warrenville Rd
Ste 310
Lisle, IL 60532
Phone (630) 548-0408

430 Warrenville Rd
Ste 310PT
Lisle, IL 60532

430 Warrenville Rd
Lisle, IL 60532
Phone (630) 432-6180

430 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (630) 432-6180

2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300

17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

50 Township Line Rd
Fl 2
Elkins Park, PA 19027
Phone (215) 663-6067

50 Township Line Rd
Bldg 2ND
Elkins Park, PA 19027
Phone (215) 663-6067

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: bkadow191839@dulyhealthandcare.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1386938157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WARRENVILLE RD STE 310",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321348",
            "telephone_number": "630-790-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17495 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604877581",
            "country_code": "US",
            "telephone_number": "630-790-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADOW",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD453305",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.148484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkadow191839@direct.edward.org",
            "affiliation": "N",
            "address_1": "430 Warrenville Rd Ste 310",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605321348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkadow191839@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 Warrenville Rd Ste 310",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605321348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.