DR. JAMES M KANE JR.
NPI 1528028180
Specialist in Hoffman Estates, IL

Q: What is James Kane's NPI number?

The NPI number for James Kane is 1528028180. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is James Kane's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for James Kane was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 March 27, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4885 HOFFMAN BLVD, SUITE 400, HOFFMAN ESTATES, IL 60192(847) 255-9697(847) 255-3206 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James M Kane Jr. NPPES

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

DR. JAMES M KANE JR. (NPI 1528028180) is an individual specialist in Hoffman Estates, Illinois, licensed in Illinois (036071947) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1528028180

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JAMES M KANE JR.

Location Address4885 HOFFMAN BLVD, SUITE 400Hoffman Estates, IL 60192-3726

Mailing Address4885 Hoffman Blvd, Suite 400Hoffman Estates, IL 60192-3726 · (847) 255-9697 · Fax (847) 255-3206

Phone(847) 255-9697

Fax(847) 255-3206

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1984

Enumeration DateMarch 27, 2006

Last NPPES UpdateOctober 20, 2011

✔ NPI 1528028180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036071947

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4885 HOFFMAN BLVD, Hoffman Estates, IL 60192

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE49139IL

Medicaid036071947IL

Medicare ID-Type Unspecified925300IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. James M Kane Jr. 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 ID2365404951

PECOS Enrollment IDI20080613000516

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.

Medicare Billing Reassignment

Medicare enrollment records show James Kane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suburban Surgical Care Specialists, S.C.

Same address

Surgery

4885 HOFFMAN BLVD., SUITE 400
Hoffman Estates, IL 60192

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Suburban Surgical Care Specialists Sc
6 clinicians in this Medicare group

NPI 1871613489 (847) 255-9697

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 11

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

93 services93 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

49 services49 patients

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.

43 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

23 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services12 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 18

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

STEVEN J SHANDLEY DDS AND M ELIZABETH KANE DDS PC

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

DR. M. ELIZABETH KANE D.D.S.

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

BEAIRD DERMATOLOGY S C

Dermatology

4885 HOFFMAN BLVD, SUITE #407
HOFFMAN ESTATES, IL 60192

Cook County (224) 484-0183

ANGELA MABILANGAN

Licensed Practical Nurse

4885 HOFFMAN BLVD
HOFFMAN ESTATES, IL 60192

Cook County (847) 645-1443

DR. LESLIE J.M. BEAIRD M.D.

Dermatology

4885 HOFFMAN BLVD, SUITE 407
HOFFMAN ESTATES, IL 60192

Cook County (224) 484-0183

PETER C RANTIS M.D.

Specialist

4885 HOFFMAN BLVD, SUITE 400
HOFFMAN ESTATES, IL 60192

Cook County (847) 255-9697

HINES VAMC

Clinic/Center (VA)

4885 HOFFMAN BLVD
HOFFMAN ESTATES, IL 60192

Cook County (608) 821-7200

DR. STEVEN J SHANDLEY D.D.S.

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

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 James Kane's NPI number?

The NPI number for James Kane is 1528028180. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is James Kane located?

James Kane practices at 4885 Hoffman Blvd Suite 400, Hoffman Estates, IL 60192. The listed phone number is (847) 255-9697.

What is James Kane's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Kane enrolled in Medicare?

Yes. James Kane 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 organization bills Medicare for James Kane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kane reassigns Medicare benefits to Suburban Surgical Care Specialists, S.C. (Hoffman Estates, IL). The 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 James Kane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Kane accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Kane 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 James Kane affiliated with any hospitals?

According to CMS data, James Kane is affiliated with Advocate Sherman Hospital, Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for James Kane was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.