Individual provider Active NPI

Hong Suk Yoon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ogema, MN
National Provider Identifier
1588969331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005438 Issued in IL
Practice address
40520 County Highway 34
Ogema, MN 56569-9612
Phone
(218) 983-4300
Fax
(218) 983-6217
NPI assigned
Jan 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 016005438 IL
Primary Podiatric Medicine Podiatrist 213EP1101X 016.005438 IL
Radiology Podiatrist 213ER0200X 016.005438 IL
Sports Medicine Podiatrist 213ES0000X 016.005438 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005438 IL Primary

Addresses

Primary practice location

40520 County Highway 34
Ogema, MN 56569-9612

Mailing address

855 E Palatine Rd
Suite 290
Palatine, IL 60074-5500
Phone (847) 794-8778

Other practice location 1

855 E Palatine Rd
suite 290
Palatine, IL 60074-5500
Phone (847) 794-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017001733 TX Practitioner - Podiatry 2961670773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Earth Indian Health CenterGroup PAC ID 1658367925, 36 clinicians

Practice addresses (Care Compare)

40520 County Hwy 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Point Health Station Multi-Specialty Current Accepting new patients
White Earth Indian Health Center Multi-Specialty CurrentSince Sep 2, 2017 Accepting new patients
Naytahwaush Health Center Multi-Specialty CurrentSince Sep 2, 2017 Accepting new patients
Alternacare Home Health S.C. PastSince Jun 10, 2013 Accepting new patients
Illinois Institute of Foot and Ankle, P.C. Multi-Specialty PastSince Jun 15, 2011 Accepting new patients

Locations

2471 310th Ave
Mahnomen, MN 56557
Phone (218) 935-2238

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588969331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E PALATINE RD",
            "address_2": "SUITE 290",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745500",
            "telephone_number": "847-794-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 E Palatine Rd",
            "address_2": "suite 290",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600745500",
            "country_code": "US",
            "telephone_number": "847-794-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "HONG",
        "middle_name": "SUK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005438",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016.005438",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "IL",
            "license": "016.005438",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "IL",
            "license": "016.005438",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogema, MN

Sources for this page

Verify at the official NPI Registry.