Active NPI
Kadakia Cardiology S.C.
- Cardiovascular Disease Physician
- Fox River Grove, IL
National Provider Identifier
1639835945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunil Kadakia, MD, FACC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.