Individual provider Active NPI

Woosuk Steve Yoon, M.D.

  • Ophthalmology Physician
  • Rockford, IL
National Provider Identifier
1295844934
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-102401 Issued in IL
Practice address
4777 E State St
Rockford, IL 61108-2273
Phone
(815) 227-0077
Fax
(815) 227-5886
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-102401 IL Primary

Addresses

Primary practice location

4777 E State St
Rockford, IL 61108-2273

Mailing address

6785 Weaver Rd
Ste D
Rockford, IL 61114-8055
Phone (815) 227-0077

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000687 IL Practitioner - Ophthalmology 7315988375 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Loves Park, IL; Rockford, IL; Rochelle, IL

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Eye and Laser Center LTDGroup PAC ID 3274888706, 5 clinicians

Practice addresses (Care Compare)

4301 N Mulford Rd
Loves Park, IL 61111-6955
Phone (815) 227-0077

Hospital & facility affiliations

  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102401ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Eye & Laser Center LTD. Ophthalmology CurrentSince Jun 1, 2018 Accepting new patients

Locations

4301 N Mulford Rd
Loves Park, IL 61111
Phone (815) 227-0077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1295844934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 WEAVER RD",
            "address_2": "STE D",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148055",
            "telephone_number": "815-227-0077",
            "fax_number": "815-227-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082273",
            "telephone_number": "815-227-0077",
            "fax_number": "815-227-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "WOOSUK",
        "middle_name": "STEVE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-102401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.