KELLY SHI THAO MD
NPI 1588307441
Family Medicine in Park Ridge, IL
About Kelly Shi Thao Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SHI THAO MD (NPI 1588307441) is an individual family medicine provider in Park Ridge, Illinois, licensed in Minnesota (77739) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Saint Paul.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kelly Shi Thao 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Kelly Thao's NPI number?
The NPI number for Kelly Thao is 1588307441. It was assigned to this individual provider in the NPPES registry on April 19, 2022.
Where is Kelly Thao located?
Kelly Thao practices at 1775 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-2710.
What is Kelly Thao's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelly Thao enrolled in Medicare?
Yes. Kelly Thao 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 Kelly Thao accept?
Health plans from Medica list Kelly Thao 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 Kelly Thao affiliated with any hospitals?
According to CMS data, Kelly Thao is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Thao was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
