Active NPI
Kevin Chingyun Tu, M.D.
- Orthopaedic Surgery Physician
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036104281
- Practice address
- 1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626 - Phone
- (630) 782-1174
- Fax
- (773) 275-2443
- NPI assigned
- Aug 24, 2006
- Last updated
- Apr 30, 2015
- 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 | 036104281 | IL | Primary |
Addresses
Primary practice location
1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626
Mailing address
1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626
Phone (630) 782-1174
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610189900 | Other | IL | DEPT OF LABOR |
| P00157851 | Other | IL | RAILROAD MEDICARE |
| 02232584 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036104281 | Medicaid | IL |
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
- Loyola University of Chicago, Stritch School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S York St
Suite 4190
Elmhurst, IL 60126-5640
Phone (630) 782-1174
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotec Surgery Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14157/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Elmhurst, IL
- NPI 1821025289
-
dba Elmhurst Foot & Ankle Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Elmhurst, IL
- NPI 1205234143
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1235246463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S YORK RD",
"address_2": "SUITE 4190",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265626",
"telephone_number": "630-782-1174",
"fax_number": "773-463-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S YORK RD",
"address_2": "SUITE 4190",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265626",
"telephone_number": "630-782-1174",
"fax_number": "773-275-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TU",
"first_name": "KEVIN",
"middle_name": "CHINGYUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036104281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "610189900",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00157851",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02232584",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104281",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.