Individual provider Active NPI

Hongkai Kevin Du, M.D.

  • Interventional Pain Medicine Physician
  • Belleville, IL
National Provider Identifier
1396846598
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
36111184 Issued in IL
Practice address
4700 Memorial Drive, Suite 230 (Pain Center)
4500 Memorial Drive (Memorial Hospital)
Belleville, IL 62226
Phone
(618) 257-5902
Fax
(618) 257-6671
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036111184 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 36111184 IL
Physical Medicine & Rehabilitation Physician 208100000X 36111184 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 36111184 IL
Interventional Pain Medicine Physician 208VP0014X 36111184 IL Primary

Addresses

Primary practice location

4700 Memorial Drive, Suite 230 (Pain Center)
4500 Memorial Drive (Memorial Hospital)
Belleville, IL 62226

Mailing address

PO Box 24001
Belleville, IL 62223-9001
Phone (618) 767-3814

Other identifiers 1

IdentifierTypeStateIssuer
036111184MedicaidIL

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
I20040701000075 IL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0941283261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5902

4700 Memorial Dr
Suite 230
Belleville, IL 62226-5373
Phone (618) 257-5902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.56 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36111184ILMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Interventional Spine and Pain Institute. LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2011 Accepting new patients

Locations

4700 Memorial Dr
Ste 230
Belleville, IL 62226
Phone (618) 212-4414

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1396846598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24001",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622239001",
            "telephone_number": "618-767-3814",
            "fax_number": "618-257-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MEMORIAL DRIVE, SUITE 230 (PAIN CENTER)",
            "address_2": "4500 MEMORIAL DRIVE (MEMORIAL HOSPITAL)",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-257-5902",
            "fax_number": "618-257-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "HONGKAI",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036111184",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "36111184",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "36111184",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "36111184",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "36111184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.