Individual provider Active NPI

Kyong Christopher Oh, M.D.

  • Internal Medicine Physician
  • Niles, IL
National Provider Identifier
1144253048
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-108822 Issued in IL
Practice address
241 Golf Mill Ctr Ste 508
Niles, IL 60714-1215
Phone
(847) 375-8181
Fax
(847) 375-8310
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-108822 IL Primary

Addresses

Primary practice location

241 Golf Mill Ctr Ste 508
Niles, IL 60714-1215

Mailing address

241 Golf Mill Ctr Ste 508
Niles, IL 60714-1215
Phone (847) 375-8181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koh251972@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000181 IL Practitioner - Internal Medicine 9133115207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3633 W Lake Ave
Suite 410
Glenview, IL 60026-5804
Phone (847) 375-8181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108822ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Oh, M.D., S.C. Internal Medicine CurrentSince Feb 22, 2012 Accepting new patients
John Oh M.D.S.C. Internal Medicine Past Accepting new patients

Locations

3633 W Lake Ave
Ste 410
Glenview, IL 60026
Phone (847) 375-8181

241 Golf Mill Ctr
Ste 508
Niles, IL 60714
Phone (847) 297-4688

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFCBA/Endpoint/AIFCBA
  • Direct secure messaging: koh251972@direct.myadvocateaurora.org

Organizations & group practices 2

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1144253048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 508",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141215",
            "telephone_number": "847-375-8181",
            "fax_number": "847-375-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 508",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141215",
            "telephone_number": "847-375-8181",
            "fax_number": "847-375-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "KYONG",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-108822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koh251972@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "241 Golf Mill Ctr Ste 508",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607141215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.