NPIMap

Individual provider Active NPI

Ha Young Cho, MD

  • Internal Medicine Physician
  • Forsyth, IL
National Provider Identifier
1356803480
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-159006 Issued in IL
Practice address
241 W Weaver Rd Ste 240
Forsyth, IL 62535-9770
Phone
(217) 876-5220
Fax
(217) 876-1702
NPI assigned
Apr 6, 2019
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-159006 IL Primary

Addresses

Primary practice location

241 W Weaver Rd Ste 240
Forsyth, IL 62535-9770

Mailing address

241 W Weaver Rd Ste 240
Forsyth, IL 62535-9770
Phone (217) 876-5220

Other identifiers 1

IdentifierTypeStateIssuer
036159006OtherILMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414002052 IL Practitioner - Internal Medicine 9638401102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

241 W Weaver Rd
Suite 240
Forsyth, IL 62535-9770
Phone (217) 876-6350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-159006ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Decatur Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

241 W Weaver Rd
Ste 240
Forsyth, IL 62535
Phone (217) 876-5290

Interoperability endpoints

  • Direct secure messaging: hacho@sfc.allscriptsdirect.net

Organizations & group practices 4

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 7

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": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1356803480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD STE 240",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359770",
            "telephone_number": "217-876-5220",
            "fax_number": "217-876-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD STE 240",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359770",
            "telephone_number": "217-876-5220",
            "fax_number": "217-876-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "HA",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-159006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "036159006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, IL

Sources for this page

Verify at the official NPI Registry.