Individual provider Active NPI

Kenny S. Yoo, M.D.

  • Vascular & Interventional Radiology Physician
  • Zion, IL
National Provider Identifier
1053396374
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036.106402 Issued in IL
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

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036.106402OtherILSTATE LICENSE
036106402MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050303000326 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9537112479 Reassigns benefits to 3 organizations
I20240322000773 CA Practitioner - Diagnostic Radiology 9537112479 Reassigns benefits to 1 organization
I20260515000116 AZ Practitioner - Diagnostic Radiology 9537112479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C171364CAMDDiagnostic Radiology Physician
036106402ILMDDiagnostic Radiology Physician
77895WIMDDiagnostic Radiology Physician
036.106402ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jul 12, 2025 Accepting new patients
City of Hope Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Sep 1, 2008 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Apr 1, 2026 Accepting new patients
Waukegan Clinic Corp CurrentSince Jul 12, 2025 Accepting new patients
Kenosha Radiology Center LLC. CurrentSince Aug 1, 2022 Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology PastSince Jun 11, 2023 Accepting new patients
Radiology Imaging Consultants SC Diagnostic Radiology PastSince Jun 11, 2023 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

  • Direct secure messaging: kyoo145757@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070
  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.