NPIMap

Individual provider Active NPI

Keenan Adib, MD

  • Cardiovascular Disease Physician
  • Hinsdale, IL
National Provider Identifier
1790098804
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD460526 Issued in PA
Practice address
908 N Elm St Ste 404
Hinsdale, IL 60521-3638
Phone
(630) 789-3422
Fax
(630) 789-9003
NPI assigned
Jul 17, 2010
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD460526 PA Primary

Addresses

Primary practice location

908 N Elm St Ste 404
Hinsdale, IL 60521-3638

Mailing address

908 N Elm St Ste 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504001539 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214186550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

2363 63Rd St
Woodridge, IL 60517-1300
Phone (630) 789-3422

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 499-4750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

908 N Elm St
Suite 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Leg revascularization (restoring blood flow)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Du Page Pathology Associates SC Current Accepting new patients
Adventist Bolingbrook Hospital CurrentSince Aug 19, 2021 Accepting new patients
Adventist Midwest Health CurrentSince Aug 19, 2021 Accepting new patients
Adventist Bolingbrook Hospital Cardiovascular Disease CurrentSince Aug 19, 2021 Accepting new patients
Adventist Midwest Health CurrentSince Apr 27, 2022 Accepting new patients
Hinsdale Hospital CurrentSince Apr 27, 2022 Accepting new patients
Adventist Health Partners, Inc Cardiovascular Disease CurrentSince May 28, 2020 Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Aug 19, 2021 Accepting new patients
Adventist Midwest Health Cardiovascular Disease Current Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

16955 Collection Ctr Dr
Chicago, IL 60693

908 N Elm St
Ste 404
Hinsdale, IL 60521
Phone (224) 273-8908

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

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

Interoperability endpoints

  • Direct secure messaging: kadib1240422@adventhealth.direct-ci.com
  • Direct secure messaging: keenanadib@cgowny.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1790098804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 404",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213638",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 404",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213638",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIB",
        "first_name": "KEENAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD460526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.