DR. KEVIN TOM DO
NPI 1053990895
Emergency Medicine in Hazel Crest, IL
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kevin Tom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Chicago, IL 60620
- Reassigned Medicare billing, Illinois enrollment
- 49 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, ILPhysician 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.
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.
HAZEL CREST, IL 60429
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Kevin Tom located?
Kevin Tom practices at 17800 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 213-4200.
What is Kevin Tom's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kevin Tom enrolled in Medicare?
Yes. Kevin Tom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Tom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Tom reassigns Medicare benefits to 3 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Foundation For Emergency Services (Chicago, IL) and Iems Physician Services PLLC (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kevin Tom affiliated with any hospitals?
According to CMS data, Kevin Tom is affiliated with Advocate Trinity Hospital.
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 14 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.
# Dr. Kevin Tom, DO · NPI 1053990895
Emergency Medicine physician in Hazel Crest, Illinois. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1053990895 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036-166065 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 17800 KEDZIE AVE, Hazel Crest, IL 60429-2029
- **Phone:** (708) 213-4200 · **Fax:** (773) 967-4205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Advocate Health & Hospitals Corporation (NPI 1912936014, Oak Lawn, IL); Foundation For Emergency Services (NPI 1992053029, Chicago, IL); Iems Physician Services PLLC (NPI 1790544047, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2021
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053990895) · Data from the CMS NPPES public registry.