Organization Active NPI

Kadakia Cardiology S.C.

  • Cardiovascular Disease Physician
  • Fox River Grove, IL
National Provider Identifier
1639835945
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KADAKIA CARDIOLOGY S.C.
Practice address
912 Northwest Hwy Ste 100
Fox River Grove, IL 60021-1925
Phone
(847) 462-8866
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. Sunil Kadakia, MD, FACCNPI 1780763516
Title
Cardiologist
Phone
(847) 828-4981

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

912 Northwest Hwy Ste 100
Fox River Grove, IL 60021-1925

Mailing address

912 Northwest Hwy Ste 100
Fox River Grove, IL 60021-1925
Phone (847) 462-8866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210000848 IL Part B Supplier - Clinic/Group Practice 3779973581 Receives reassigned benefits from 1 practitioner
Practice locations: Barrington, IL; Crystal Lake, IL; Fox River Grove, IL; Hoffman Estates, IL; McHenry, IL

National Provider Directory

National Provider Directory

Locations

912 Northwest Hwy
Ste 100
Fox River Grv, IL 60021
Phone (847) 462-8866

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1639835945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY STE 100",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-462-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY STE 100",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-462-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADAKIA CARDIOLOGY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "847-828-4981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.