Active NPI
Jason Hyunsuk Ko, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 036.119026
- Practice address
- 259 E Erie St Ste 20-2060
Chicago, IL 60611-2987 - Phone
- (312) 695-6022
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036.119026 | IL | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 036.119026 | IL | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 036.119026 | IL | Primary |
Addresses
Primary practice location
259 E Erie St Ste 20-2060
Chicago, IL 60611-2987
Mailing address
680 N. Lake Shore Drive
Suite #1000
Chicago, IL 60611-8709
Phone (312) 695-6022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417145152 | Medicaid | WA |
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
- Plastic and Reconstructive Surgery
- Education
- Duke University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
259 E Erie St
Chicago, IL 60611-2930
Phone (312) 503-1944
4445 W Irving Park Rd
Chicago, IL 60641-2808
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
737 N Michigan Ave
Chicago, IL 60611-2615
Phone (847) 582-2104
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.119026 | IL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
737 N Michigan Ave
Ste 700
Chicago, IL 60611
Phone (312) 337-6960
259 E Erie St
Ste 2060
Chicago, IL 60611
Phone (312) 695-6022
675 N Saint Clair St
Ste 19-250
Chicago, IL 60611
Phone (312) 694-2428
259 E Erie St
Ste 202060
Chicago, IL 60611
Phone (312) 695-6022
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1417145152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N. LAKE SHORE DRIVE",
"address_2": "SUITE #1000",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606118709",
"telephone_number": "312-695-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 20-2060",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112987",
"telephone_number": "312-695-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "JASON",
"middle_name": "HYUNSUK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036.119026",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "IL",
"license": "036.119026",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "IL",
"license": "036.119026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417145152",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.