Kenneth Tuan, M.D.
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Decatur, IL
NPI 1477520955 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1477520955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 036109943 (IL)
- Practice address
- 304 W Hay St Ste 218
Decatur, IL 62526-4169 - Phone
- (217) 528-7541
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 528-7541
2773 N Main St
Decatur, IL 62526-3231
Phone (217) 528-7541
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Hospital & facility affiliations
- Enhabit Home Health
- Memorial Home Services
- Decatur Memorial Hospital
- St Marys Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.58 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 81.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 19 |
| Knee replacement | 26 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 17 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2025 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2025 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2025 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2025 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000560 | IL | Practitioner - Orthopedic Surgery | 9032018494 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Rehabilitation Specialists of Central Illinois | Sports Medicine | Current |
Accepting new patients |
| Springfield Clinic, LLP | Current |
Accepting new patients |
Locations
304 W Hay St
Ste 218
Decatur, IL 62526
Phone (217) 876-6330
2773 N Main St
Decatur, IL 62526
Phone (217) 877-2088
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- kenneth.tuan.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036109943 | IL | Yes |
Addresses
Primary practice location
304 W Hay St Ste 218
Decatur, IL 62526-4169
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109943 | Medicaid | IL |
Other providers in Decatur, IL
- Jodie Anne Trimby
- Audra L Trump
- Deborah Lynette Trump
- Rachel Nicole Trumpy
- Roy Tsuda
- Nicole Renee Tucker
- Morgan Tudor
- Ladell Turner
- Twilight Med LLC
- Michael Gerhard Ufkes
All providers in Decatur, IL · Sports Medicine (Orthopaedic Surgery) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.