DR. KEVIN TOM DO
NPI 1053990895
Emergency Medicine in Hazel Crest, IL

Q: What is Kevin Tom's NPI number?

The NPI number for Kevin Tom is 1053990895. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Kevin Tom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Tom was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment

17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-4200(773) 967-4205 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Oct 19, 2023, Apr 7, 2021 (3 updates tracked since 2021).

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About Dr. Kevin Tom Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN TOM DO (NPI 1053990895) is an individual emergency medicine provider in Hazel Crest, Illinois, licensed in Illinois (036-166065) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1053990895

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KEVIN TOMCredential: DO

Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(708) 213-4200

Fax(773) 967-4205

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2021

Enumeration DateApril 7, 2021

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1053990895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-166065

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

17800 KEDZIE AVE, Hazel Crest, IL 60429

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Secondary Practice Location 1

Location 1326 W 64th StChicago, IL 60621-3114 · Phone (739) 623-9007

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Tom Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385097963

PECOS Enrollment IDI20240131000151

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINGER YVONNE CLINTON MD

Emergency Medicine