PHILLIP KADAJ MD
NPI 1417157165
Internal Medicine in Midland, MI

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
4401 CAMPUS RIDGE DR STE 1100, MIDLAND, MI 48640(989) 837-9200(989) 837-9205 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Phillip Kadaj Md NPPES

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

PHILLIP KADAJ MD (NPI 1417157165) is an individual internal medicine provider in Midland, Michigan, licensed in Michigan (4301090460) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Wayne State University School Of Medicine (2007).

NPPES Registry Identity

NPI1417157165
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILLIP KADAJCredential: MD
Location Address4401 CAMPUS RIDGE DR STE 1100Midland, MI 48640-6125
Mailing Address4401 Campus Ridge Dr, Ste 1100Midland, MI 48640-6112 · (989) 837-9200 · Fax (989) 837-9205
Fax(989) 837-9205
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateJuly 20, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1417157165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301090460
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4401 CAMPUS RIDGE DR STE 1100, Midland, MI 48640

Accepted Insurance

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

Phillip Kadaj Md 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 ID9830378694
PECOS Enrollment IDI20110125001176
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
426 services233 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services68 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
20 services20 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
19 services18 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
17 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers50 claims115 services$5.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims21 services$0.91 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims130 services$1.71 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers26 claims26 services$36.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers12 claims48 services$18.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers28 claims28 services$49.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Pharmacist (Ambulatory Care)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine (Infectious Disease)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Physician Assistant
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Speech-Language Pathologist
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640

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 Phillip Kadaj's NPI number?

The NPI number for Phillip Kadaj is 1417157165. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Phillip Kadaj located?

Phillip Kadaj practices at 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640. The listed phone number is (989) 837-9200.

What is Phillip Kadaj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phillip Kadaj enrolled in Medicare?

Yes. Phillip Kadaj 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.

What insurance does Phillip Kadaj accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Phillip Kadaj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phillip Kadaj affiliated with any hospitals?

According to CMS data, Phillip Kadaj is affiliated with Ascension St Mary's Hospital, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Phillip Kadaj was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.