Active NPI
Hongkai Kevin Du, M.D.
- Interventional Pain Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 36111184
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036111184 | Medicaid | IL |
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
- Interventional Pain Management
- 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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36111184 | IL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Interventional Spine and Pain Institute. LLC | Physical Medicine & Rehabilitation | Current | 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.
-
- Interventional Pain Medicine Physician
- Breese, IL
- NPI 1679878698
Physical Medicine & Rehabilitation
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Red Bud Regional Hospital
- Critical Access Hospital
- Red Bud, IL
- NPI 1407573132
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.