Active NPI
Helen D Kwong, MD
- Internal Medicine Physician
- Springfield, IL
National Provider Identifier
1346357886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036119937
- Practice address
- 2801 Mathers Rd
Springfield, IL 62711-7064 - Phone
- (217) 789-3600
- Fax
- (217) 492-9643
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39088 | WI | |
| Internal Medicine Physician | 207R00000X | 036119937 | IL | Primary |
Addresses
Primary practice location
2801 Mathers Rd
Springfield, IL 62711-7064
Mailing address
2801 Mathers Rd
Springfield, IL 62711-7064
Phone (217) 789-3600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020057300 | Other | IL | BLACK LUNG |
| 14D0949277 | Other | IL | CLIA CERT PGW |
| 08421024 | Other | IL | BLUE CROSS BLUE SHIELD |
| 6394P | Other | IL | CATERPILLAR |
| 133586700 | Other | IL | ACS-OWCP |
| 14D0435365 | Other | IL | CLIA CFP |
| CD7143 | Other | IL | RR MEDICARE GRP |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39088 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Passavant Memorial Area Hospital Association | Internal Medicine | Current | Accepting new patients |
| Physicians Group Associates S C | Internal Medicine | Past | Accepting new patients |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Physicians Group Associates S C | Internal Medicine | Past | Accepting new patients |
| Physicians Group Associates S C | Past | Accepting new patients |
Locations
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
Organizations & group practices 7
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.
-
dba Passavant Area Hospital
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
dba Passavant Professional Services
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
-
dba Jacksonville Professional Fees
- Multi-Specialty Clinic/Center
- Jacksonville, IL
- NPI 1235864810
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1275565988
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1689606246
-
- Nurse Practitioner
- Springfield, IL
- NPI 1841216975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1346357886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 MATHERS RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117064",
"telephone_number": "217-789-3600",
"fax_number": "217-492-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 MATHERS RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117064",
"telephone_number": "217-789-3600",
"fax_number": "217-492-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWONG",
"first_name": "HELEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "39088",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036119937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "020057300",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA CERT PGW",
"identifier": "14D0949277",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08421024",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATERPILLAR",
"identifier": "6394P",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-OWCP",
"identifier": "133586700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA CFP",
"identifier": "14D0435365",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GRP",
"identifier": "CD7143",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.