Kinjal Kadakia, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-121138 Issued in IL

Practice address

1901 W Galena Blvd
Aurora, IL 60506-4305

Phone

(630) 692-5960

Fax

(630) 692-5961

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
• Rush University Medical Center Hospital, Chicago, IL, CCN 140119
• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkadakia84032@direct.rush.rush-health.com

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.

• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848
  Medicare reassignment Care Compare group NPD
• Rush Medical Group

  dba Rush Orthopaedics

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1467312850
  Medicare reassignment
• Rush University Medical Center

  dba Rush Oak Brook

  • Internal Medicine Physician
  • Oak Brook, IL
  • NPI 1801375696
  NPD
• Rush Copley Medical Group

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1194836247
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation
• DMJ Home Health Services, Inc

  • Home Health Agency
  • Aurora, IL
  • NPI 1154532315
  Care Compare affiliation
• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation
• Rush University Medical Center

  • Children's Hospital
  • Chicago, IL
  • NPI 1801908728
  Care Compare affiliation
• Rush University Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1932213600
  Care Compare affiliation

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1619133469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064305",
            "telephone_number": "630-897-2848",
            "fax_number": "630-978-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064305",
            "telephone_number": "630-692-5960",
            "fax_number": "630-692-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Boulder Hill Pass",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "IL",
            "postal_code": "60538",
            "country_code": "US",
            "telephone_number": "630-897-2848",
            "fax_number": "630-897-4498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4789 Route 71",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605437415",
            "country_code": "US",
            "telephone_number": "630-692-5730",
            "fax_number": "630-692-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "KINJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "036121138",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-121138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lawrence Timothy Kacmar, M.D.
• Melissa Kain, LCSW CADC
• Celia Helen Kaiser, BCBA
• Nisha Chhablani Kakodkar, M.D.
• Siddharth Arvind Kakodkar, M.D.
• Stephanie Kalant, D.O

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.