Individual provider Active NPI

Tony Jeen Choi, MD

  • Orthopaedic Surgery Physician
  • Sycamore, IL
National Provider Identifier
1144336074
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036123643 Issued in IL
Practice address
2111 Midlands CT
Sycamore, IL 60178-3125
Phone
(815) 758-0000
Fax
(815) 756-7130
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036123643 IL Primary

Addresses

Primary practice location

2111 Midlands CT
Sycamore, IL 60178-3125

Mailing address

2111 Midlands CT
Sycamore, IL 60178-3125
Phone (815) 758-0000

Other practice location 1

900 N 2nd St
Rochelle, IL 61068-1764
Phone (815) 561-7100

Other practice location 2

1310 N Main St Ste 100
Sandwich, IL 60548-1394
Phone (815) 786-6000

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
I20090921000291 IL Practitioner - Orthopedic Surgery 3779650858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Southern Illinois University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

1850 Gateway Dr
Sycamore, IL 60178-3192

2111 Midlands CT
Sycamore, IL 60178-3125
Phone (815) 758-0000

5 Kish Hospital Dr
Dekalb, IL 60115-9602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036123643ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 1, 2020 Accepting new patients
KSB Medical Group, Inc. Orthopaedic Surgery CurrentSince Oct 26, 2018 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

1310 N Main St
Sandwich, IL 60548
Phone (815) 786-3770

1310 N Main St
Ste 100
Sandwich, IL 60548
Phone (815) 758-0000

1952 Aberdeen Ct
Sycamore, IL 60178
Phone (815) 758-0000

2111 Midlands Ct
Sycamore, IL 60178
Phone (815) 748-8900

2111 Midlands Ct
Ste 100
Sycamore, IL 60178
Phone (815) 758-0000

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 4

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 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1144336074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MIDLANDS CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783125",
            "telephone_number": "815-758-0000",
            "fax_number": "815-756-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MIDLANDS CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783125",
            "telephone_number": "815-758-0000",
            "fax_number": "815-756-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610681764",
            "country_code": "US",
            "telephone_number": "815-561-7100",
            "fax_number": "815-758-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605481394",
            "country_code": "US",
            "telephone_number": "815-786-6000",
            "fax_number": "815-758-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "TONY",
        "middle_name": "JEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036123643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.