THEODORE KAO DDS
NPI 1326929167
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Active since September 09, 2025PECOS Enrolled
1900 W POLK ST, CHICAGO, IL 60612(310) 990-6283 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Kao Dds NPPES

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

THEODORE KAO DDS (NPI 1326929167) is an individual oral and maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019.036462) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326929167
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHEODORE KAOCredential: DDS
Location Address1900 W POLK STChicago, IL 60612-3723
Mailing Address741 Gallegos TerFremont, CA 94539-5233
Sole ProprietorNo
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1326929167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IL · 019.036462
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1900 W POLK ST, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theodore Kao Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612

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 Theodore Kao's NPI number?

The NPI number for Theodore Kao is 1326929167. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Theodore Kao located?

Theodore Kao practices at 1900 W Polk St, Chicago, IL 60612. The listed phone number is (310) 990-6283.

What is Theodore Kao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Theodore Kao enrolled in Medicare?

Yes. Theodore Kao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Kao was last updated on September 9, 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.