Individual provider Active NPI

Tom M Kao, D.C., APN

  • Nurse Practitioner
  • Fulton, IL
National Provider Identifier
1821286394
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209031480 Issued in IL
Practice address
1006 4TH St
Fulton, IL 61252-1778
Phone
(815) 589-4616
NPI assigned
Oct 10, 2007
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A182619 IA
Nurse Practitioner 363L00000X 209031480 IL Primary
Chiropractor 111N00000X A05807 IA
Chiropractor 111N00000X 038007086 IL

Addresses

Primary practice location

1006 4TH St
Fulton, IL 61252-1778

Mailing address

1006 4TH St
Fulton, IL 61252-1778
Phone (815) 589-4616

Other identifiers 3

IdentifierTypeStateIssuer
350043559OtherILRAILROAD PROVIDER NUMBER
38007086MedicaidIL
1119974MedicaidIA

Other names 1

  • Dr. Tom M Kao-Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080118000187 IL Practitioner - Chiropractic 9133200959 Practice locations: Fulton, IL
I20250630000558 IL Practitioner - Nurse Practitioner 9133200959 Reassigns benefits to 2 organizations
I20260205000570 IA Practitioner - Nurse Practitioner 9133200959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Services of Eastern Iowa IncGroup PAC ID 0244120681, 4 clinicians

Practice addresses (Care Compare)

2635 Lincoln Way
Suite a
Clinton, IA 52732-7229
Phone (563) 243-1413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05807IAMDChiropractor
038007086ILMDChiropractor
A182619IAMDNurse Practitioner
209031480ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care Aco PLLC Nurse Practitioner CurrentSince Apr 21, 2025 Accepting new patients
Womens Health Services of Eastern Iowa Inc CurrentSince Feb 9, 2026 Accepting new patients
Milan Medical Group LTD Chiropractor Past Accepting new patients

Locations

2635 Lincoln Way
Clinton, IA 52732
Phone (563) 243-1413

2635 Lincoln Way
Ste A
Clinton, IA 52732
Phone (563) 241-1328

229 S Main St
Maquoketa, IA 52060
Phone (563) 352-3749

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1821286394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 4TH ST",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "612521778",
            "telephone_number": "815-589-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 4TH ST",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "612521778",
            "telephone_number": "815-589-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "TOM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C., APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A182619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031480",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05807",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "350043559",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38007086",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119974",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "KAO-CHEN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C., APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fulton, IL

Sources for this page

Verify at the official NPI Registry.