Individual provider Active NPI

Yazan Kaakaji, M.D.

  • Diagnostic Radiology Physician
  • Naperville, IL
National Provider Identifier
1437106929
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
112527 Issued in GA
Practice address
808 Rickert Dr Ste 101
Naperville, IL 60540-0907
Phone
(630) 961-4177
NPI assigned
May 28, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036114886 IL
Diagnostic Radiology Physician 2085R0202X 112527 GA Primary

Addresses

Primary practice location

808 Rickert Dr Ste 101
Naperville, IL 60540-0907

Mailing address

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

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-9129

Other practice location 2

52 Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, 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
I20040203001023 IN Practitioner - Diagnostic Radiology 7315830429 Reassigns benefits to 1 organization
I20070207000489 IL Practitioner - Diagnostic Radiology 7315830429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

40 S Clay St
Hinsdale, IL 60521-3257
Phone (630) 432-6848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112527GAMDDiagnostic Radiology Physician
036114886ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The South Bend Clinic LLC CurrentSince May 29, 2025 Accepting new patients
The South Bend Clinic, LLC CurrentSince May 29, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2013 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2013 Accepting new patients
Radiologic Associates of Northwest Indiana, PC Diagnostic Radiology Past Accepting new patients
Radiology, Inc Diagnostic Radiology Past Accepting new patients

Locations

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

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

40 S Clay St
Ste LL10
Hinsdale, IL 60521
Phone (630) 432-6848

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

808 Rickert Dr
Ste 101
Naperville, IL 60540
Phone (630) 718-1700

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086

303 S Nappanee St
Elkhart, IN 46514

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

250 E Day Rd
Ste 360
Mishawaka, IN 46545
Phone (574) 247-4333

301 E Day Rd
Mishawaka, IN 46545
Phone (574) 204-7300

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

801 E Lasalle Ave
South Bend, IN 46617
Phone (574) 237-7111

Interoperability endpoints

  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1437106929",
    "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": "808 RICKERT DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400907",
            "telephone_number": "630-961-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6823",
            "fax_number": "407-849-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAAKAJI",
        "first_name": "YAZAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036114886",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "112527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.