Active NPI
Richard Kao, M.D.
- Otolaryngology Physician
- Rockville, MD
National Provider Identifier
1962880419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D91294
- Practice address
- 9420 Key West Ave Ste 310
Rockville, MD 20850-6212 - Phone
- (301) 315-5888
- Fax
- (301) 315-5866
- NPI assigned
- May 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | D91294 | MD | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 036151689 | IL | |
| Otolaryngology Physician | 207Y00000X | D91294 | MD | Primary |
Addresses
Primary practice location
9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Mailing address
1611 W Harrison St
Chicago, IL 60612-4861
Other practice location 1
1611 W Harrison St
Chicago, IL 60612-4861
Phone (312) 942-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036151689 | IL | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Specialists of Shady Grove, P.C. | Current | Accepting new patients |
Interoperability endpoints
- rkao164408@direct.rush.rush-health.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1962880419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE STE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506212",
"telephone_number": "301-315-5888",
"fax_number": "301-315-5866"
}
],
"practiceLocations": [
{
"address_1": "1611 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124861",
"country_code": "US",
"telephone_number": "312-942-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAO",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-15",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MD",
"license": "D91294",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "IL",
"license": "036151689",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D91294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.