Active NPI
Iyad a.Kashow MD LTD
- Internal Medicine Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036085249
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Iyad A Kashow, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085249 | Other | IL | PHYSICIAN |
| 036085249 | Medicaid | IL | |
| 211055 | Other | IL | MEDICARE PTAN |
Other names 1
- Iyad A.Kashow MD LTD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Iyad a Kashow Mdltd
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1104947951
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.
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1174574396
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.