Kiddos Health, SC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

036105004 Issued in IL

Legal business name

KIDDOS HEALTH, SC

Doing business as

Kiddos Health and Urgent Care
Kids Heart Clinic

Practice address

3 Yorktown Shopping Ctr
Lombard, IL 60148-5516

Phone

(630) 520-5990

Fax

(630) 323-9044

NPI assigned

Dec 22, 2014

Last updated

Jan 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamad Khaled Al-AhdabNPI 1336172014

Title

President

Phone

(316) 440-8800

Specialties & licenses 12

Addresses

Other identifiers 4

Other names 3

• Kiddos Health and Urgent Care Doing business as
• Kids Heart Clinic Doing business as
• Axiom Clinic Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Mohamad Khaled Al-Ahdab, M.D.

  • Pediatric Cardiology Physician
  • Wichita, KS
  • NPI 1336172014
  Authorized official Same address or phone

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1558759738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 YORKTOWN SHOPPING CTR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485516",
            "telephone_number": "630-520-5990",
            "fax_number": "630-323-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 YORKTOWN SHOPPING CTR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485516",
            "telephone_number": "630-520-5990",
            "fax_number": "630-323-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Northwinds Dr",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111882",
            "country_code": "US",
            "telephone_number": "630-345-5255",
            "fax_number": "630-323-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDDOS HEALTH, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "AL-AHDAB",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-440-8800"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036105004",
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200096860A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105004",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414260C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201276620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddos Health and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axiom Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lindsey K Khan, LCSW
• Tamer Khatib
• Harram A Khawaja
• Abid Khurshid, M.D.
• Kathleen Kicsak, MD
• Kiddos Urgent Care PLLC
• Megan Kikilas, PTA
• Lauren Kilcommons
• Audrey Kim
• Christine Kim, LCPC

• Pediatric Cardiology Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.