Individual provider Active NPI

Dong Sik Cho, MD

  • Physical Medicine & Rehabilitation Physician
  • Hammond, LA
National Provider Identifier
1306940036
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
300435 Issued in LA
Practice address
2101 Robin Ave
Suite 14
Hammond, LA 70403-5772
Phone
(985) 230-1860
Fax
(985) 230-1861
NPI assigned
Sep 12, 2006
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01071513A IN
Physical Medicine & Rehabilitation Physician 208100000X 5476 AK
Physical Medicine & Rehabilitation Physician 208100000X P5608 TX
Physical Medicine & Rehabilitation Physician 208100000X 300435 LA Primary

Addresses

Primary practice location

2101 Robin Ave
Suite 14
Hammond, LA 70403-5772

Mailing address

2101 Robin Ave
Suite 14
Hammond, LA 70403-5772
Phone (985) 230-1860

Other practice location 1

601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-6821

Other identifiers 2

IdentifierTypeStateIssuer
MD0546MedicaidAK
2407431MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160105000903 LA Practitioner - Physical Medicine and Rehabilitation 5991694671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071513AINMDPhysical Medicine & Rehabilitation Physician
1738SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Nov 18, 2015 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Mar 1, 2023 Accepting new patients
North Country Medical Clinic Past Accepting new patients

Locations

15784 Medical Arts Dr
Ste A
Hammond, LA 70403
Phone (985) 230-7525

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

2101 Robin Ave
Ste 11
Hammond, LA 70403
Phone (985) 230-1860

2101 Robin Ave
Ste 14
Hammond, LA 70403
Phone (985) 230-1860

17199 Spring Ranch Rd
Ste 210I
Livingston, LA 70754
Phone (225) 686-4960

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1306940036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 14",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-230-1860",
            "fax_number": "985-230-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 14",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-230-1860",
            "fax_number": "985-230-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032317",
            "country_code": "US",
            "telephone_number": "812-353-6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "DONG",
        "middle_name": "SIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01071513A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AK",
            "license": "5476",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P5608",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "300435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0546",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407431",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.