Active NPI
Kenny S. Yoo, M.D.
- Vascular & Interventional Radiology Physician
- Zion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036.106402
- Practice address
- 2520 Elisha Ave
Zion, IL 60099-2676 - Phone
- (800) 322-9183
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 77895 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 036106402 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | C171364 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.106402 | IL | Primary |
Addresses
Primary practice location
2520 Elisha Ave
Zion, IL 60099-2676
Mailing address
Patient First 2361 Paysphere Circle
Chicago, IL 60674-0001
Phone (800) 322-9183
Other practice location 1
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Other practice location 2
2500 W Layton Ave Ste 20
Milwaukee, WI 53221-5400
Phone (262) 261-9423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.106402 | Other | IL | STATE LICENSE |
| 036106402 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
| Direct Messaging Address | direct@cityofhope.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
160 E Illinois St
Chicago, IL 60611-5426
Phone (866) 517-0733
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
9300 Waukegan Rd
Morton Grove, IL 60053-1312
Phone (847) 675-3900
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
- City of Hope Helford Clinical Research Hospital
- Vista Medical Center East
- City of Hope Cancer Center Phoenix
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- Quality
- 74.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171364 | CA | MD | Diagnostic Radiology Physician |
| 036106402 | IL | MD | Diagnostic Radiology Physician |
| 77895 | WI | MD | Diagnostic Radiology Physician |
| 036.106402 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| City of Hope Medical Foundation | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | Accepting new patients | |
| Kenosha Radiology Center LLC. | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Consultants S C | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging Consultants SC | Diagnostic Radiology | Past | Accepting new patients |
| Western Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204
6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
Interoperability endpoints
- kyoo145757@cityofhope.direct-ci.com
- direct@cityofhope.direct-ci.com
- https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Diagnostic Radiology
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
-
- Medical Oncology Physician
- Phoenix, AZ
- NPI 1801397658
-
- Radiology Clinic/Center
- Kenosha, WI
- NPI 1770540130
-
- Diagnostic Radiology Physician
- Oak Lawn, IL
- NPI 1881647386
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1568524841
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
-
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1053396374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PATIENT FIRST 2361 PAYSPHERE CIRCLE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740001",
"telephone_number": "800-322-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ELISHA AVE",
"city": "ZION",
"state": "IL",
"postal_code": "600992676",
"telephone_number": "800-322-9183"
}
],
"practiceLocations": [
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 W Layton Ave Ste 20",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532215400",
"country_code": "US",
"telephone_number": "262-261-9423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "KENNY",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "77895",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036106402",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C171364",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.106402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036.106402",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106402",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "N",
"address_1": "2520 Elisha Ave",
"city": "Zion",
"state": "IL",
"country_code": "US",
"postal_code": "600992676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.