Individual provider Active NPI

Kevin Patrick Casey, MD

  • Otolaryngology Physician
  • Joliet, IL
National Provider Identifier
1871835249
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036145144 Issued in IL
Practice address
330 Madison St # 220
Joliet, IL 60435-6565
Phone
(630) 420-2323
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036145144 IL Primary
Otolaryngology Physician 207Y00000X 63346-20 WI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

330 Madison St # 220
Joliet, IL 60435-6565

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000

Other practice location 1

40 S Clay St # Ll30
Hinsdale, IL 60521-3257
Phone (630) 420-2323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcasey199321@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180725002461 IL Practitioner - Otolaryngology 6800114703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

330 Madison St
Suite 103
Joliet, IL 60435-6572
Phone (815) 725-2121

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145144ILMDOtolaryngology Physician
63346-20WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Oct 7, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 7, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

908 N Elm St
Ste 306
Hinsdale, IL 60521
Phone (630) 323-5214

40 S Clay St
Ste LL30
Hinsdale, IL 60521
Phone (630) 286-5050

40 S Clay St
#30
Hinsdale, IL 60521
Phone (630) 420-2323

330 Madison St
Ste 220
Joliet, IL 60435
Phone (630) 420-2323

330 Madison St
Ste 103
Joliet, IL 60435
Phone (815) 741-2900

330 Madison St
Joliet, IL 60435
Phone (815) 725-3440

330 Madison St
#220
Joliet, IL 60435
Phone (630) 420-2323

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1871835249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST # 220",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356565",
            "telephone_number": "630-420-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 S Clay St # Ll30",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213257",
            "country_code": "US",
            "telephone_number": "630-420-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036145144",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "63346-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcasey199321@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "330 Madison St # 220",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.