Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KADI LEE COOLEY MD
NPI 1700460003
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Springfield, IL

Q: What is Kadi Cooley's NPI number?

The NPI number for Kadi Cooley is 1700460003. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Q: What is Kadi Cooley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Kadi Cooley was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 May 12, 2021PECOS Enrolled

747 N RUTLEDGE ST FL 3, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7789 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Jul 27, 2026, May 12, 2021 (3 updates tracked since 2021).

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About Dr. Kadi Lee Cooley Md NPPES

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

DR. KADI LEE COOLEY MD (NPI 1700460003) is an individual adult reconstructive orthopaedic surgery provider in Springfield, Illinois, licensed in Illinois (125.088422) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1700460003

Entity TypeIndividualFemale

Primary Taxonomy207XS0114X

Provider Legal NameDR. KADI LEE COOLEYCredential: MD

Location Address747 N RUTLEDGE ST FL 3Springfield, IL 62702-6700

Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-7789 · Fax (217) 545-8000

Phone(217) 545-8000

Fax(217) 545-7789

Sole ProprietorNo

Enumeration DateMay 12, 2021

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1700460003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in IL · 125.088422

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

747 N RUTLEDGE ST FL 3, Springfield, IL 62702

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Secondary Practice Location 1

Location 11301 S Koke Mill RdSpringfield, IL 62711-9252 · Phone (217) 545-8000 · Fax (217) 545-7789

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kadi Lee Cooley Md 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.

Other Providers at the Same Location NPPES 14

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

DR. AUSTIN MICHAEL BEASON MD

Orthopaedic Surgery