DR. KEITH DAVID BOWERSOX (M.D, PHD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1669474870

DR. KEITH DAVID BOWERSOX (M.D, PHD) is a healthcare provider. based in Elk grove village, Illinois. specializing in CARDIAC SURGERY, THORACIC SURGERY. They hold the professional credentials M.D, PHD. They hold a License No. 036078229 (IL). The NPI Number for DR. KEITH DAVID BOWERSOX (M.D, PHD) is 1669474870

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH DAVID BOWERSOX (M.D, PHD)
NPI
1669474870
Phone
(847) 593-4116
Address
800 BIESTERFIELD RD
Enumeration Date
1 June 2005
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8475934116
Graduation Year
1986 (40 years ago)
PAC ID
3476500091
Group Practice PAC ID
7214916402
Professional Enrollment ID
I20080318000243
Address ID
IL600073361EL800XXRDXX300

Contacts

Secure Messaging
kbowersox236548@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

131 CARDIAC SURGERY in IL

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Provider Addresses for DR. KEITH DAVID BOWERSOX (M.D, PHD)

  • Alexian Brothers Medical Center, 800, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    SUITE 4005

    ELK GROVE VILLAGE, IL 600073361

    Phone: (847) 593-4116

    Fax: (847) 593-4135

    Type: Location

  • Advocate Christ Medical Center, 4400, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 205

    OAK LAWN, IL 604532654

    Phone: (708) 346-4040

    Fax: (708) 346-3287

    Type: Mailing

  • 4400 W 95TH ST STE 308

    OAK LAWN, IL 604532660

    Phone: (708) 346-4040

    Fax: (708) 346-3287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($102).

Total Amount

$212

General + Research + Ownership

Payments

5

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2008-03-18

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
I20080318000243ICardiac SurgeryILTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3025$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
32674Removal of lymph nodes of chest cavity using an endoscope2121$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 60007)

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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: 7214916402View full group profile
NameSpecialtyState
-CA
Physician AssistantIL
Physician AssistantIL
-IL
Physician AssistantIL
Thoracic Surgery, Cardiac SurgeryIL
Thoracic Surgery, Cardiac Surgery, General SurgeryIL
Nurse PractitionerIL
Cardiac Surgery, Thoracic SurgeryNC
Certified Clinical Nurse Specialist (Cns)IL

Reviews

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Frequently asked questions

What identifier follows DR. KEITH DAVID BOWERSOX (M.D, PHD) across health systems?
The NPI 1669474870 uniquely identifies DR. KEITH DAVID BOWERSOX (M.D, PHD) in U.S. healthcare data.
Is DR. KEITH DAVID BOWERSOX (M.D, PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. KEITH DAVID BOWERSOX (M.D, PHD) as active.
Which specialty label fits DR. KEITH DAVID BOWERSOX (M.D, PHD)?
NPPES ties DR. KEITH DAVID BOWERSOX (M.D, PHD) to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KEITH DAVID BOWERSOX (M.D, PHD)?
The directory associates DR. KEITH DAVID BOWERSOX (M.D, PHD) with Elk Grove Village, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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