KAVISH THAKKAR (MD) – Emergency Medicine Physician, NPI 1124516794

KAVISH THAKKAR (MD) is a healthcare provider. based in Winfield, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036153508 (IL). The NPI Number for KAVISH THAKKAR (MD) is 1124516794

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KAVISH THAKKAR (MD)
NPI
1124516794
Phone
(630) 933-6490
Address
25 N Winfield Rd
Enumeration Date
28 April 2018
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6309332640
Graduation Year
2018 (8 years ago)
PAC ID
8123371358
Group Practice PAC ID
5597763706
Professional Enrollment ID
I20210423000968
Address ID
IL601901222WI25XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for KAVISH THAKKAR (MD)

  • 25 N Winfield Rd

    Winfield, IL 601901379

    Phone: (630) 933-6490

    Fax: (630) 933-6490

    Type: Location

  • AMITA Health Resurrection Medical Center, 7435, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States

    CHICAGO, IL 606313707

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-04-23

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
I20210423000968IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making409397$0
99291Critical care, first 30-74 minutes9593$0
99284Emergency department visit with moderate level of medical decision making8787$0
View full utilization report →

Insurance plans in this area (ZIP 60190)

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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: 5597763706View full group profile
NameSpecialtyState
Emergency MedicineIL
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineMA
Emergency MedicineFL
Physician AssistantIL
Emergency MedicineIL
-IL
Emergency MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference KAVISH THAKKAR (MD)?
For KAVISH THAKKAR (MD), use NPI 1124516794 as the unique 10-digit identifier.
Is there an active status for KAVISH THAKKAR (MD)?
For scheduling context, KAVISH THAKKAR (MD) is shown as active in the registry.
What clinical focus is listed for KAVISH THAKKAR (MD)?
At a glance, KAVISH THAKKAR (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KAVISH THAKKAR (MD) associated with Winfield?
Public fields place KAVISH THAKKAR (MD) around Winfield, Illinois. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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