Active NPI
Kellen K. Choi, M.D.
- Orthopaedic Surgery Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036106615
- Practice address
- 130 S Main St Ste 304
Lombard, IL 60148-2670 - Phone
- (630) 646-7000
- Fax
- (630) 548-1563
- NPI assigned
- Aug 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036106615 | IL | Primary |
Addresses
Primary practice location
130 S Main St Ste 304
Lombard, IL 60148-2670
Mailing address
130 S Main St Ste 304
Lombard, IL 60148-2670
Phone (630) 646-7000
Other practice location 1
120 Spalding Dr Ste 307
Naperville, IL 60540-6521
Phone (630) 646-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kchoi214025@direct.edward.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Northwestern University Feinberg Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200
1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636
130 S Main St
Lombard, IL 60148-2670
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Hospital & facility affiliations
- Residential Home Health
- Edward Hospital
- Elmhurst Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 12 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 61 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Wheaton Orthopaedics, LTD | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
130 S Main St
Ste 304
Lombard, IL 60148
Phone (630) 481-6161
130 S Main St
Ste 202
Lombard, IL 60148
Phone (630) 652-0606
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 307
Naperville, IL 60540
Phone (630) 355-1102
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
3329 75th St
Woodridge, IL 60517
Phone (630) 646-6750
3329 75th St
Fl 1
Woodridge, IL 60517
Phone (630) 646-7000
Interoperability endpoints
- kchoi214025@direct.edward.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1467637264
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Specialist
- Naperville, IL
- NPI 1205374717
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Home Health Agency
- Lisle, IL
- NPI 1336377365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1164423786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S MAIN ST STE 304",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482670",
"telephone_number": "630-646-7000",
"fax_number": "630-548-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S MAIN ST STE 304",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482670",
"telephone_number": "630-646-7000",
"fax_number": "630-548-1563"
}
],
"practiceLocations": [
{
"address_1": "120 Spalding Dr Ste 307",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605406521",
"country_code": "US",
"telephone_number": "630-646-7000",
"fax_number": "630-548-1563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "KELLEN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036106615",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kchoi214025@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "130 S Main St Ste 304",
"city": "Lombard",
"state": "IL",
"country_code": "US",
"postal_code": "601482670",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.