Individual provider Active NPI

Kevin L Ju, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Rockwall, TX
National Provider Identifier
1205157443
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
Q8268 Issued in TX
Practice address
3164 Horizon Rd
Suite 100
Rockwall, TX 75032-7805
Phone
(972) 772-8780
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X Q8268 TX Primary

Addresses

Primary practice location

3164 Horizon Rd
Suite 100
Rockwall, TX 75032-7805

Mailing address

3164 Horizon Rd
Suite 100
Rockwall, TX 75032-7805
Phone (972) 772-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160830003119 TX Practitioner - Orthopedic Surgery 5395903579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

3164 Horizon Rd
Suite 100
Rockwall, TX 75032-7805
Phone (972) 772-8767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion126
Laminectomy or laminotomy (partial removal of spine bones)43
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Neurosurgeons, PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

4616 US Highway 75
Ste 202
Denison, TX 75020
Phone (469) 291-7919

3124 E Broad St Ste 321
Mansfield, TX 76063

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

3164 Horizon Rd
#100
Rockwall, TX 75032
Phone (972) 772-8767

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Interoperability endpoints

  • Direct secure messaging: 4410-ju-kevin@direct.leadingreach.com

Organizations & group practices 1

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 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1205157443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 HORIZON RD",
            "address_2": "SUITE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "972-772-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 HORIZON RD",
            "address_2": "SUITE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "972-772-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "Q8268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.