Individual provider Active NPI

Helen D Kwong, MD

  • Internal Medicine Physician
  • Springfield, IL
National Provider Identifier
1346357886
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036119937 Issued in IL
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020057300OtherILBLACK LUNG
14D0949277OtherILCLIA CERT PGW
08421024OtherILBLUE CROSS BLUE SHIELD
6394POtherILCATERPILLAR
133586700OtherILACS-OWCP
14D0435365OtherILCLIA CFP
CD7143OtherILRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000088 IL Practitioner - Internal Medicine 6406914316 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39088WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Passavant Memorial Area Hospital Association CurrentSince Jan 7, 2026 Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Nov 13, 2023 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 PastSince Mar 24, 2025 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.

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

Verify at the official NPI Registry.