Active NPI
Lee R. Choo-Kang, M.D.
- Pediatric Pulmonology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 2001007181
- Practice address
- 621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232 - Phone
- (314) 251-6933
- Fax
- (314) 251-6088
- NPI assigned
- Jan 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 2001007181 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232
Mailing address
621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232
Phone (314) 251-6933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205387004 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001007181 | MO | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Past | Accepting new patients |
Locations
448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
621 S New Ballas Rd
Ste 382A
Saint Louis, MO 63141
Phone (314) 251-5880
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
621 S New Ballas Rd
Ste 6006B
Saint Louis, MO 63141
Phone (314) 251-6299
1965 S Fremont Ave
Ste 130
Springfield, MO 65804
Phone (417) 820-5150
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- lchookang1232@directc.mercy.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Pediatric Pulmonology Physician
- Saint Louis, MO
- NPI 1972532620
-
- Rural Health Clinic/Center
- Cassville, MO
- NPI 1497887848
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144366196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE 382-A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-6933",
"fax_number": "314-251-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE 382-A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-6933",
"fax_number": "314-251-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOO-KANG",
"first_name": "LEE",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MO",
"license": "2001007181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205387004",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.