Keenan Adib, MD
Individual provider Active NPI Cardiovascular Disease Physician · Hinsdale, IL
NPI 1790098804 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1790098804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD460526 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Partners Inc
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
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Bolingbrook
- Uchicago Medicine Adventhealth Glenoaks
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 70.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 48 |
| Leg revascularization (restoring blood flow) | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200504001539 | IL | Practitioner - Interventional Cardiology |
7214186550 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD460526 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Midwest Health | Current |
Accepting new patients | |
| Adventist Bolingbrook Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| Adventist Midwest Health | Cardiovascular Disease | Current |
Accepting new patients |
| Adventist Midwest Health | Current |
Accepting new patients | |
| Adventist Health Partners, Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Adventist Bolingbrook Hospital | Current |
Accepting new patients | |
| Hinsdale Hospital | Current |
Accepting new patients | |
| Adventist Midwest Health | Cardiovascular Disease | Current | Accepting new patients |
| Du Page Pathology Associates SC | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates S C | 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
- keenanadib@cgowny.allscriptsdirect.net
- kadib1240422@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD460526 | PA | Yes |
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
Other providers in Hinsdale, IL
- Adamo Diagnostics, LLC
- Adamo Eye Care, P.C.
- Treacy Adamo
- Carmen T Adams
- Kavita Adatia
- Advanced Anesthesia Specialists S.C.
- Advanced Behavioral Centers Corporation
- Advanced Behavioral Centers of Dupage, LLC
- Advanced Clinical Imaging LLC
- Advanced Dental Concepts,P.C.
All providers in Hinsdale, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.