Bassam Kawadry, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036061261 Issued in IL

Practice address

1314 Green Trails Dr
Naperville, IL 60540-7029

Phone

(630) 712-7763

Fax

(630) 717-7765

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Em Strategies,LTD.

  • Emergency Medicine Physician
  • New Lenox, IL
  • NPI 1679791834
  Medicare reassignment NPD
• Lurie Children'S Medical Group Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518064716
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1285103671
  Medicare reassignment NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elk Grove Village, IL
  • NPI 1528681822
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1548912553
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Fischer Mangold/Joliet

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1730138496
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1790717502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 GREEN TRAILS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407029",
            "telephone_number": "630-712-7763",
            "fax_number": "630-717-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 GREEN TRAILS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407029",
            "telephone_number": "630-712-7763",
            "fax_number": "630-717-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWADRY",
        "first_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01049211A",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "IL",
            "license": "036061261",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036061261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ratish Kaura, M.D.
• Shivtej Singh Kaushal, M.D.
• Jodi Kautz, LSW
• Kaveh N. Adel, D.D.S., P.C.
• Mohan J. Kavuri, M.D.
• Dorota Kawczynska-Pstrucha, PT
• Stephanie Kay, M.D.
• Kaz M Zymantas DDS LTD
• Ismail Kazmi
• KCMP Acupuncture, LLC

• Emergency Medicine Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.