DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) – Cardiovascular Disease Physician, NPI 1053674002

DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) is a healthcare provider. based in Downers grove, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D., M.P.H.. They hold a License No. 036137166 (IL). The NPI Number for DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) is 1053674002

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN CHAD KOSOVA (M.D., M.P.H.)
NPI
1053674002
Phone
(630) 967-6125
Address
3825 HIGHLAND AVE STE 210
Enumeration Date
24 June 2012
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6304356100
Graduation Year
2012 (14 years ago)
PAC ID
5890933139
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20160106001558
Address ID
IL605151561DO3825XAVEX306

Contacts

Secure Messaging
ekosova194703@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for DR. ETHAN CHAD KOSOVA (M.D., M.P.H.)

  • 3825 HIGHLAND AVE STE 210

    DOWNERS GROVE, IL 60515

    Phone: (630) 967-6125

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606743597

    Phone: (630) 469-9200

    Type: Mailing

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 303 W OGDEN AVE FL 3

    WESTMONT, IL 605591419

    Phone: (630) 435-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $5,206.

Total Amount is formed as General ($5,206) + Research ($0) + Ownership ($0) = $5,206.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,755).

Total Amount

$5,206

General + Research + Ownership

Payments

121

Total payment records

General Amount

$5,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160106001558IInterventional CardiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2785Injection, regadenoson, 0.1 mg720180$0
99214Established patient office or other outpatient visit, 30-39 minutes497356$0
A9500Technetium tc-99m sestamibi, diagnostic, per study dose460230$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect259259$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only241200$0
View full utilization report →

Insurance plans in this area (ZIP 60515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ETHAN CHAD KOSOVA (M.D., M.P.H.)?
DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) — NPI 1053674002 — is the standard way to identify this listing.
Does CMS list DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) as active?
Yes — DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) is active in the NPI listing used on this page.
What is DR. ETHAN CHAD KOSOVA (M.D., M.P.H.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) on a map?
Expect Downers Grove, Illinois as a primary anchor for DR. ETHAN CHAD KOSOVA (M.D., M.P.H.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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