Organization Active NPI

Iyad a.Kashow MD LTD

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1427186980
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
Legal business name
IYAD A.KASHOW MD LTD
Doing business as
Iyad A.Kashow MD LTD
Practice address
710 Shoreline Dr
Suite 102
Aurora, IL 60504-6192
Phone
(630) 692-1280
Fax
(630) 692-1284
NPI assigned
Feb 28, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Iyad A Kashow, MDNPI 1174574396
Title
Owner
Phone
(630) 692-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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 3

IdentifierTypeStateIssuer
036085249OtherILPHYSICIAN
036085249MedicaidIL
211055OtherILMEDICARE PTAN

Other names 1

  • Iyad A.Kashow MD LTD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000521 IL Part B Supplier - Clinic/Group Practice 7214989003 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL; Vernon Hills, IL

National Provider Directory

National Provider Directory
Tax ID family
Iyad a Kashow Mdltd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427186980",
    "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": {
        "organization_name": "IYAD A.KASHOW MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KASHOW",
        "authorized_official_first_name": "IYAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-692-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "036085249",
            "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iyad A.Kashow MD LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.