Active NPI
Edward Shin Hur, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Joliet, IL
National Provider Identifier
1356835136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 036170537
- Practice address
- 963 N 129TH Infantry Dr
Joliet, IL 60435-3104 - Phone
- (877) 632-6637
- Fax
- (708) 409-5179
- NPI assigned
- Jun 15, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036170537 | IL | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 036170537 | IL | Primary |
Addresses
Primary practice location
963 N 129TH Infantry Dr
Joliet, IL 60435-3104
Mailing address
963 N 129TH Infantry Dr
Joliet, IL 60435-3104
Phone (877) 632-6637
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
963 N 129TH Infantry Dr
Joliet, IL 60435-3104
Phone (877) 632-6637
Hospital & facility affiliations
- Rush University Medical Center
- Osf Saint Elizabeth MDL Ctr
- Silver Cross Hospital and Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.02 of 100
- Quality
- 68.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 56.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036170537 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425
324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339
Interoperability endpoints
- edward.hur.1@12576.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1356835136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 N 129TH INFANTRY DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353104",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 N 129TH INFANTRY DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353104",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUR",
"first_name": "EDWARD",
"middle_name": "SHIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-15",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036170537",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "IL",
"license": "036170537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.