Active NPI
Ken Nan Kuo, MD
- Orthopaedic Surgery Physician
- Oak Brook, IL
National Provider Identifier
1215413125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036.045258
- Practice address
- 105 Indian Trail Rd
Oak Brook, IL 60523-2793 - Phone
- (630) 205-1853
- NPI assigned
- Jul 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 036.045258 | IL | Primary |
Addresses
Primary practice location
105 Indian Trail Rd
Oak Brook, IL 60523-2793
Mailing address
105 Indian Trail Rd
Oak Brook, IL 60523-2793
Phone (630) 205-1853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.045258 | Other | IL | ORTHOPEDICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.045258 | IL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1215413125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 INDIAN TRAIL RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232793",
"telephone_number": "630-205-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 INDIAN TRAIL RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232793",
"telephone_number": "630-205-1853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "KEN",
"middle_name": "NAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036.045258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOPEDICS",
"identifier": "036.045258",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.