Active NPI
Tom M Kao, D.C., APN
- Nurse Practitioner
- Fulton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209031480
- Practice address
- 1006 4TH St
Fulton, IL 61252-1778 - Phone
- (815) 589-4616
- NPI assigned
- Oct 10, 2007
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350043559 | Other | IL | RAILROAD PROVIDER NUMBER |
| 38007086 | Medicaid | IL | |
| 1119974 | Medicaid | IA |
Other names 1
- Dr. Tom M Kao-Chen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A05807 | IA | MD | Chiropractor |
| 038007086 | IL | MD | Chiropractor |
| A182619 | IA | MD | Nurse Practitioner |
| 209031480 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care Aco PLLC | Nurse Practitioner | Current | Accepting new patients |
| Womens Health Services of Eastern Iowa Inc | Current | 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
- 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.
-
dba Women's Health Services
- Non-Surgical Family Planning Clinic/Center
- Clinton, IA
- NPI 1720056492
-
- Nurse Practitioner
- Chicago, IL
- NPI 1457926537
-
- Nurse Practitioner
- Chicago, IL
- NPI 1083012074
-
dba Blackwood Family Wellness
- General Practice Physician
- Milan, IL
- NPI 1346362589
Chiropractor
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
- Edvard LC Gerega, DC
- Harbor Crest Home Inc
- Stephen D Harrison, M.D.
- Stephanie G Holesinger, ARNP
- Journey Well Therapy and Coaching PLLC
- Scott Kunau, D.D.S.
- Medical Associates of Clinton, Iowa, P.L.C. (Fulton Family Health Clinic)
- Mercy Specialty Clinic (MercyOne Fulton Family Medicine)
- Midwest Vision Clinic PLC
- Kristin Marie Mortensen-Ward, CPM, LM CPM, LCPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.